Care Manager - LVN

SCAN Health Plan; United States; On-site; USD 71,698 - 114,691; Full time

Benefits offered by this job

Annual bonus program

Wellness program

Generous PTO

11 holidays + floating + birthday

401(k) with employer match

Tuition reimbursement

Employee recognition program

Remote work

Job summary

SCAN Health Plan is seeking a Remote Care Manager (LVN) to coordinate patient care with the Integrated Care Team. You will authorize services, review utilization, and ensure timely, appropriate care across settings. This role requires 3-5 years of related experience and a CA LVN license.

The position offers base salary with annual bonus, generous PTO, holidays, and comprehensive benefits, including retirement plans. Remote work mode is available and coverage includes after-hours.

Qualifications

• Associate's degree or equivalent required.
• 3-5 years of related experience preferred.
• CA LVN license required.

Responsibilities

• Serve as the point of contact with patients, families, and providers about care, transfers, and authorizations.
• Coordinate inpatient/outpatient services to ensure timely, appropriate care at the right location.
• Coordinate discharge planning from inpatient units and SNFs with post-acute needs.
• Ensure timely delivery of last coverage day letters to facilities.
• Develop and implement treatment plans using evidence-based criteria and clinical judgment.

Skills

Problem-Solving

Strong Communication

Customer focus

Detail oriented

Responsible

Education

Associate's Degree or equivalent

Job description

## Care Manager - LVNApplylocations: Remote, UStime type: Full timeposted on: Posted Yesterdayjob requisition id: JR3147Founded 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.***This role is full-time and will provide coverage during non-business hours (aka after-hours) to ensure continuity of care.*****The Job**The Care Manager will coordinate care for members in collaboration with the Integrated Care Team, ensuring members receive high-quality, timely, and coordinated care, are directed to the optimal facility for their needs, and have all necessary services, supplies, and information. The Care Manager authorizes services based on well-developed knowledge and skills in areas of utilization management, medical necessity, and patient status determination. Conducts pre-service and concurrent review following established guidelines. Applies care management principles and practices to ensure medical needs, care, and service are coordinated.**You Will*** Serve as point person to speak with patients, family members, and providers to address concerns pertaining to care, transfers and authorizations* Ensure necessary inpatient and outpatient care or other services are rendered to SCAN members at the right time, the right level of care and at the right location, with end-to-end coordination, while adhering to all policies and procedures* Coordinate discharge needs from inpatient acute settings and skilled nursing facilities as appropriate for each member.* Coordinate timely delivery of last cover day letters to skilled nursing facilities* Discharge needs may include: durable medical equipment, home health services, specialist referrals, skilled nursing placement, transportation, and other needs Issue determinations within required regulatory timeframes* Apply evidenced-based criteria and guidelines, as well as clinical judgment and expertise, to help develop treatment plans* Review tasks assigned by Integrated Care Nurse Practitioners and coordinate member care accordingly, including services such as: home health; DME ordering, wound care, Foley catheter, Enteral, colostomy supplies, infusion orders and outpatient services* Review all acute/skilled nursing appeals and create detail explanation of non-coverage and reinstatement letters* Refer cases that do not meet established criteria to the Medical Directors for secondary review* Prepare, participate and facilitate high risk huddles and/or skilled nursing rounds Maintain a list of high risk patients and conduct regular outreach calls to check on their health status* Develop effective working relationships and collaboration with and provide clinical guidance to Care Coordinators on clinical matters.* Demonstrate excellent organizational, decision-making and multi-tasking skills as demonstrated by problem-solving and successful outcomes* Promote the mission, vision, and values of SCAN Health Plan and serve as an ambassador when interfacing and collaborating with external stakeholders, including contracted medical groups and vendors.* Other duties as assigned.* Actively support the achievement of SCAN’s Vision and Goals.* We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.**Your Qualifications*** Associate's Degree or equivalent experience* 3-5 years of related experience* CA LVN license* 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.* Provides leadership, coaching, and/or mentoring to partner care coordinators.* Technical Expertise* Problem-Solving* Strong Communication* Customer/client focused* Detail oriented* Responsible**What’s in it for you?*** Base salary range: $34.47 to $55.14 per hour* Work Mode: Remote* Annual bonus program* Robust Wellness Program* Generous paid-time-off (PTO)* Eleven paid holidays per year, plus 1 additional 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! 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.