Bilingual Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM)

SCAN Health Plan; Long Beach (CA); Remote; USD 60,000 - 80,000; Full time

Job summary

Join a forward-thinking organization dedicated to improving the lives of older adults. As a Bilingual Chronic Disease Management Nurse, you'll play a crucial role in assessing and managing the health needs of members, ensuring they receive the best possible care. This remote position offers the opportunity to work collaboratively with a diverse team, providing education and support to help members manage their chronic conditions effectively. With a commitment to quality care and community engagement, this role not only enhances your professional growth but also allows you to make a meaningful impact in the lives of others. If you're passionate about nursing and want to be part of a mission-driven team, this is the perfect opportunity for you.

Benefits

Annual employee bonus program

Robust Wellness Program

Generous paid-time-off (PTO)

401(k) Retirement Saving Plan with employer match

Employee recognition program

Qualifications

• Active CA RN License and bilingual in English/Spanish are required.
• 1-2 years of disease management experience and 1 year of direct patient care nursing experience.

Responsibilities

• Assess, plan, implement, and evaluate health and psychosocial needs of members.
• Collaborate with interdisciplinary teams to enhance member care and engagement.

Skills

Bilingual English/Spanish

Disease Management

Patient Care

Clinical Assessment

Care Coordination

Education

Current CA RN License

BSN (Bachelor of Science in Nursing)

Tools

NCQA Standards Knowledge

CMS Regulations Knowledge

Job description

Bilingual Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM)

Job Category: Care Coordination

Requisition Number: CHRON006653

• Posted: December 5, 2024
• Full-Time

Locations

Long Beach, CA 90806, USA

Description

Remote role - CA RN Required - Bilingual Spanish

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas, and New Mexico.

The Job

The purpose of the Disease Management Nurse is to collaboratively assess, plan, implement, coordinate, monitor, and evaluate the member’s health and psychosocial needs. Disease Management serves a way to prevent further complications of a chronic condition and minimize potential exacerbations by coaching across the continuum of care.

You Will

• Help identify and execute interventions and overall plan of care for care management and disease management; includes collaborating with interdisciplinary team members, including social workers, community health workers, care coordinators, and pharmacists.
• Ensure and evaluate clinical appropriateness of care plan by incorporating assessment findings against evidence-based guidelines, clinical reasoning, clinical practice guidelines, and/or best practices in the community.
• Promote member activation and engagement to ensure optimal self-management skills and health outcomes.
• Provide education and coaching surrounding disease management by identifying new and preventable exacerbations or worsening chronic conditions.
• Create interventions and overall plan of care for disease management pods, including direction of the Community Health Worker’s field-based interventions.
• Enhance department and organization activities by identifying opportunities for improvement to existing processes.
• Participate in activities to support professional growth through education opportunities, reading professional publications, maintaining professional networks, and participating in professional organizations.
• Comply with all regulatory and quality agency standards, including: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Services (DHS), and accreditation bodies’ standards such as the National Commission of Quality Assurance (NCQA) as it relates to care management activities.
• Actively support the achievement of SCAN’s vision, mission, and goals; support SCAN-wide initiatives, such as those related to member education, quality of care, and community engagement.
• Other duties as assigned.

Your Qualifications

• Current & Active CA RN License required.
• BSN preferred.
• BILINGUAL - Must be bilingual in English/Spanish. (Test will be administered to assess proficiency.)
• 1-2 Years of Disease Management Experience required.
• At least 1 year of direct patient care nursing experience required.
• 3+ years clinical experience with the geriatric population (Acute, Ambulatory care, SNF, and/or LTC) preferred.
• 2+ years of case management experience in a medical group, IPA, and/or HMO setting preferred.
• Medicare/Medi-Cal experience in a managed care environment preferred.
• Basic knowledge of related NCQA standards, CMS, and DHCS regulations.
• CCM Certification preferred.

What's in it for you?

• Base salary range: $38.61 to $61.78 per hour
• Remote Work Mode
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Excellent 401(k) Retirement Saving Plan with employer match & contribution
• Robust employee recognition program
• An opportunity to become part of a team that makes a difference to our members and our community every day!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

At SCAN, we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status, or any other status protected by law. A background check is required.