Care Coordinator - Health Plan

SCAN Group; United States; Remote; USD 45.000 - 54.000; Vollzeit

Benefits dieser Stelle

Annual bonus program

Wellness program

PTO

11 paid holidays + 1 floating holiday

Birthday holiday

401(k) with employer match

Tuition reimbursement

Zusammenfassung

SCAN is a nonprofit health organization focused on helping older adults stay healthy and independent. The Care Coordinator will support SCAN members by assessing, planning, coordinating, and monitoring holistic needs to help them age in place.

The role emphasizes addressing care coordination needs, processing referrals, and navigating the healthcare system, with a focus on compassionate, data-driven care and collaboration with providers and community resources.

Qualifikationen

• 0–3 years working in healthcare or customer service.
• Use motivational interviewing techniques to address member concerns.
• Confidentiality and privacy of member information.
• Familiarity with CMS and DHCS regulations.
• Spanish strongly preferred: conversational, reading, writing.
• Proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams).

Aufgaben

• Perform assessments and screenings to determine interventions and referrals.
• Act as triage and starting point of contact for benefits and access issues.
• Use motivational interviewing to understand member goals.
• Coordinate care using benefits and community resources.
• Document assessments and care plans in multiple systems within timeframes.
• Collaborate with county offices and governmental agencies as needed.

Kenntnisse

Motivational interviewing

Written and verbal communication

Confidentiality

CMS regulations

Medical terminology

Spanish conversational

Microsoft Office

Team collaboration

Ausbildung

High School Diploma

Some college preferred

Tools

Microsoft Office

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." Their mission continues to guide everything we do.

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. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen-not dilute-our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

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!

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 Affi…

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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)