Bilingual Spanish Community Health Worker (West LA)

SCAN Health Insurance; California; Hybrid; USD 30.000 - 43.000; Vollzeit

Benefits dieser Stelle

Annual bonus program

11 paid holidays + 1 floating + 1 bday

401(k) retirement plan with employer;

Tuition reimbursement

Zusammenfassung

SCAN Health Insurance is recruiting for a Community Health Worker to support frail seniors, conduct home visits, and assist in coordinating care across Medi-Cal/Medicare dual-eligible members. The role emphasizes ECM activities, patient advocacy, and navigating community resources in a largely remote/field setting.

You will collaborate with a nursing team to tailor care plans, monitor progress, and connect members with essential services while following CMS and DHCS guidelines.

Qualifikationen

• Bilingual English/Spanish required.
• Minimum 1+ years of community engagement experience.
• Experience with managed care, healthcare environments, or case management preferred.
• 1+ years working with seniors, conducting home visits, and working remotely preferred.
• Basic knowledge of medical terminology and abbreviations.
• Basic understanding of local community resources for seniors.

Aufgaben

• Support member well-being through observation, positive communication, and motivational interviewing.
• Provide general care coordination and empower members and families to manage chronic conditions.
• Perform Enhanced Care Management (ECM) activities for specific populations of focus.
• Implement personalized care plans tailored to high-risk members’ medical and social needs.
• Participate in interdisciplinary planning and case conferences to ensure person-centered care.
• Adhere to SNP policies and ensure timely documentation of care plans and progress notes.

Kenntnisse

Bilingual English/Spanish

Community Engagement Experience

Managed care knowledge

Home visits experience

Medical terminology

Local community resources knowledge

Ausbildung

High School Diploma or equivalent

Community Health Worker Certificate

Jobbeschreibung

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

*Position will work remote & in the field about 75% of the time in West LA & the surrounding areas*

Enhance frail seniors' ability to age in place, manage their health, navigate the health care system, and live independently by providing person-centered care in accordance with ECM requirements. Perform assessments for Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports (LTSS) and assist the Registered Nurse in determining Nursing Facility Level of Care.

• ~ Support member well-being through observation, positive communication, and motivational interviewing. Conduct face-to-face or phone visits to address care barriers, ensure engagement in primary and preventative care, and support individualized care plan implementation.
• ~Provides general care coordination and empower members and their families in managing chronic conditions through coaching, education, healthcare navigation, advocacy, accompaniment to appointments and referrals to community, county, and state resources.
• ~ Perform Enhanced Care Management (ECM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk for Avoidable Hospital Or ED Utilization, Adults Living In the Community At Risk of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back to the Community.
• ~ Implement personalized care plans tailored to the medical and social needs of high-risk members, incorporating realistic health goals supporting members inherent wishes.
• ~ Actively participates in interdisciplinary planning and case conference meetings to ensure person-centered care and to ensure member receives support following discharge from an inpatient or institutional setting.
• ~ Adheres to SNP policies and ensures timely, accurate documentation of care plans, service plans, and progress notes within established timeframes.
• ~ Network and build relationships with community business organizations like senior and wellness centers, housing outreach events, shelters, landlords, legal aid providers, etc.
• ~ Utilizes department desktop procedures, workflows, job aids and training material. Performs work under direct supervision. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

• ~ High School Diploma or equivalent experience
• ~ Community Health Worker Certificate strongly preferred
• ~ BILINGUAL required in English/Spanish. (Travel 50+% of the time in the assigned area- Must have a valid driver’s license, automobile insurance and reliable transportation
• ~1+ years of Community Engagement Experience.
• ~ Experience with managed care, healthcare environment, lived experience or case management strongly preferred.
• ~1+ years working with seniors, conducting home visits, and working remotely strongly preferred.
• ~ General understanding of NCQA standards, CMS and DHCS regulations.
• ~ Basic knowledge of medical terminology and abbreviations.
• ~ Basic understanding of local community resources for seniors.

Tuberculosis Screening Policy: To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.

21.78 to $31.52 per hour

Work Mode: Remote/Field

• An annual employee bonus program
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Tuition reimbursement

An opportunity to become part of a team that makes a difference to our members and our community every day!

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.

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. LI-Remote

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.