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

SCAN; Long Beach (CA); Remote; Full time

Job summary

A leading not-for-profit organization is seeking a Chronic Disease Management Nurse (RN) to assess and coordinate care for members with chronic conditions. This remote role involves collaboration with interdisciplinary teams to enhance member health outcomes and ensure compliance with healthcare standards. The ideal candidate will have a strong nursing background, preferably with experience in disease management and geriatric care, and will be bilingual in Spanish.

Benefits

Hourly salary: $38.61 - $55.21

Remote work opportunity

Annual bonus

Wellness program

Generous PTO and paid holidays

401(k) plan with employer match

Recognition programs

Tuition reimbursement

Opportunity to make a meaningful impact

Qualifications

• 1-2 years of Disease Management experience required.
• At least 1 year of direct patient care nursing experience required.
• 3+ years of clinical experience with geriatric populations preferred.

Responsibilities

• Identify and execute interventions and care plans for disease management.
• Promote member activation and engagement to enhance self-management.
• Ensure compliance with regulatory and quality standards.

Skills

Coaching

Motivational Interviewing

Rapport Building

Education

BSN

Job description

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

Join to apply for the Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM) role at SCAN.

Bilingual Spanish Strongly Preferred

SCAN Group is a not-for-profit organization dedicated to addressing the pressing issues faced by older adults in the United States. It is the sole corporate member of SCAN Health Plan, a leading not-for-profit Medicare Advantage plan serving over 277,000 members across California, Arizona, Nevada, Texas, and New Mexico. For over 40 years, SCAN has been committed to keeping seniors healthy and independent, recognized nationally as an expert in senior healthcare. Our talented and passionate team supports older adults through comprehensive training, advanced tools, and professional growth opportunities. We pride ourselves on recognizing our team members as field experts and rewarding their efforts. To learn more, visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

Role Overview

The Disease Management Nurse will collaboratively assess, plan, implement, coordinate, monitor, and evaluate members' health and psychosocial needs. The goal is to prevent complications of chronic conditions and reduce exacerbations through coaching and care coordination.

Key Responsibilities

• Identify and execute interventions and care plans for care and disease management, collaborating with interdisciplinary teams including social workers, community health workers, care coordinators, and pharmacists.
• Assess and ensure the clinical appropriateness of care plans based on evidence-based guidelines, clinical reasoning, and best practices.
• Promote member activation and engagement to enhance self-management and health outcomes.
• Provide education and coaching on disease management, identifying preventable exacerbations.
• Develop interventions and care plans, guiding community health workers' field interventions.
• Identify opportunities for process improvements within the department and organization.
• Participate in professional development activities, including education, reading, and networking.
• Ensure compliance with regulatory and quality standards such as CMS, DMHC, DHS, and NCQA.
• Support organizational initiatives related to member education, quality care, and community engagement.
• Support innovation and the use of AI in service delivery.
• Contribute to the achievement of SCAN’s vision and goals.
• Perform other duties as assigned.

Qualifications

• Current & Active CA RN License required.
• BSN preferred.
• 1-2 Years of Disease Management experience required.
• At least 1 year of direct patient care nursing experience required.
• 3+ years of clinical experience with geriatric populations preferred.
• 2+ years of case management experience in managed care settings preferred.
• Experience with Medicare/Medi-Cal preferred.
• Knowledge of NCQA standards, CMS, and DHCS regulations.
• Bilingual/Bicultural in Spanish preferred; testing may be required.
• CCM Certification preferred.
• Skills in coaching, motivational interviewing, and rapport building.

Benefits

• Hourly salary: $38.61 - $55.21
• Remote work opportunity
• Annual bonus
• Wellness program
• Generous PTO and paid holidays
• 401(k) plan with employer match
• Recognition programs
• Tuition reimbursement
• Opportunity to make a meaningful impact in members' lives

We encourage qualified candidates to apply now. SCAN is committed to diversity and inclusion, offering equal employment opportunities and fostering an inclusive workplace. A background check is required.