Care Coordinator - Health Plan

SCAN Health Insurance; Long Beach (CA); Remote; USD 30,000 - 36,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO

Eleven paid holidays + birthday/float

Job summary

SCAN Health Insurance seeks a Care Coordinator to enhance the well-being of SCAN members by assessing, planning, coordinating, and monitoring holistic needs. You will address care coordination needs, process referrals, and help members navigate the healthcare system.

You will perform assessments, triage, and coordination of services, employing motivational interviewing to align with member goals. Collaboration with providers, documentation, and adherence to policies ensure quality outcomes and

Qualifications

• High School diploma required; some college preferred.
• 0-3 years working in healthcare or customer service.
• Ability to use motivational interviewing techniques to understand member concerns.
• Ability to work in an environment with ongoing coaching and feedback.
• Strong written and verbal communication skills; basic interpersonal skills.
• Ability to collaborate effectively within a multidisciplinary team.
• Ability to maintain confidentiality; knowledge of CMS and DHCS regulations.
• General knowledge of medical terminology and local community resources for seniors.
• Spanish strongly preferred (conversational, reading, writing).
• Microsoft Office skills (Word, Excel, PowerPoint, Outlook, Teams) required.

Responsibilities

• Perform assessments and screenings to determine appropriate interventions and referrals.
• Act as triage point of contact with members, providers, and medical groups for benefits and to troubleshoot access issues.
• Use motivational interviewing to understand member goals and concerns.
• Coordinate care utilization of member benefits and community resources to resolve access to care issues.
• Complete timely documentation (assessments, care plans, case notes) in multiple systems.
• Demonstrate critical thinking to resolve issues with members, providers, and vendors.
• Collaborate with county offices and governmental agencies as needed.
• Exhibit professionalism and empathy in all interactions with members and provider partners.
• Follow department procedures and training materials for workflows and documentation.
• We seek Rebels curious about AI and its power to transform how we operate.

Skills

Interpersonal skills

Written and verbal communication

Organizational skills

Critical thinking

Team collaboration

Confidentiality

Spanish language

Microsoft Office

Education

High School Diploma

Some college

Tools

Microsoft Office

Job description

The Job

The Care Coordinator will contribute to the care and well-being of SCAN members, empowering them to age in place by collaboratively assessing, planning, coordinating, and monitoring their holistic needs. Focus on addressing members’ care coordination needs, processing referrals and services, and supporting navigation of the healthcare system.

You Will

• Perform assessments and screenings to determine and provide appropriate interventions and referrals.
• Act as a triage and starting point of contact with members, providers, and medical groups for administration of various benefits/programs and to troubleshoot access issues for dually enrolled Medicare/Medi-Cal SCAN beneficiaries and other SCAN members as needed.
• Use motivational interviewing techniques to understand and accurately address member goals and concerns.
• Provide coordination of care utilizing member benefits and community resources, addressing and resolving access to care issues to support better health outcomes and a positive member experience.
• Complete timely and accurate documentation, such as assessments, care plans, service plans, and/or case notes, in multiple computer systems and ensure corresponding documentation is submitted within established timeframes and following department desktop procedures and/or training materials.
• Demonstrate critical thinking skills to resolve issues with members, providers, and vendors.
• Coordinate care and/or services through collaboration with county offices and governmental agencies (e.g. Social Security Administration, Department of Public Social Services, LA County Department of Mental Health) as needed.
• Exhibit professionalism and empathy in all interactions with members and provider partners.
• Utilize department desktop procedures, workflows, job aids and training material.
• Performs work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff.
• Possesses beginning-to-working knowledge of subject matter.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Your Qualifications

• High School Diploma required Some college preferred.
• 0-3 years working in healthcare/customer service.
• Use motivational interviewing techniques to understand and accurately address member concerns.
• Ability to work in an environment where continuous coaching and feedback is the standard practice.
• Basic interpersonal skills, including excellent written and verbal communication skills.
• Basic organizational skills.
• Basic critical thinking skills.
• Ability to collaborate effectively within a multidisciplinary team.
• Ability to appropriately maintain confidentiality.
• General understanding of CMS and DHCS regulations.
• General knowledge of medical terminology and abbreviations.
• General knowledge of local community resources for seniors.
• Spanish strongly preferred Conversational (Oral), Reading, Writing.
• Microsoft Office skills (Word, Excel, PowerPoint, Outlook, Team) are required.

What’s in it for you?

• Base wage range: $21.78 to $26.00 per hour.
• Work Mode: Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and contribution
• Robust employee recognition program
• Tuition reimbursement
• 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!

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 Aff... 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.

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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. 41 CFR 60-1.35(c)