Part-time LTSS Assessment RN (SCAN Temp)

SHPCA SCAN Health Plan; California (MO); Hybrid; USD 143,270,000 - 157,597,000; Part time

Benefits offered by this job

Remote work

Medical Benefits

Paid Sick Time

401(k) Retirement Plan

Employee recognition program

Mission-driven team

Job summary

SCAN Health Plan is seeking a part-time, telephonic RN to support frail seniors, primarily in a remote capacity during Pacific Time business hours. You will conduct assessments, verify care plans, and coordinate with LTSS and care management programs to promote independent living for Medi-Cal/Medicare members.

The role requires CA RN licensure, ADN/BSN, and 3+ years in managed care or case management, with bilingual English/Spanish preferred.

Qualifications

• Associate's degree in nursing (ADN/ASN) required.
• Bachelor's degree in nursing (BSN) strongly preferred.
• Graduate or Advanced Degree preferred.
• CA Registered Nurse (RN) required.
• BILINGUAL English/Spanish preferred. (Test will be administered to assess proficiency if applicable.)
• 3+ years managed care, healthcare environment, or case management.
• 2+ years working with seniors and working remotely strongly preferred.
• Leadership - Skilled to develops others
• Problem Solving - Make critical decisions, often involving high-level risk assessment and the ability to adapt to changing circumstances
• Strategic Mindset - Formulates strategy and maps steps to achieve strategic goals
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills.
• Strong critical thinking skills.
• Ability to multitask.
• Ability to appropriately maintain confidentiality.
• General understanding of NCQA standards, CMS and DHCS regulations.
• General knowledge of medical terminology and abbreviations.
• Deep understanding of local community resources for seniors.

Responsibilities

• 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 care management, disease management, and complex and enhanced care management programs at SCAN.
• Perform initial and annual telephonic assessments in conjunction with a Community Health Worker for Medi-Cal/Medicare dually eligible members referred to Care Coordination for LTSS and in determining Nursing Facility Level of Care.
• Ensure the clinical appropriateness of member-centered care plans by evaluating assessment findings against evidence-based guidelines, clinical reasoning, and best practices.
• Promote member engagement and patient activation to ensure optimal self-management for successful health outcomes
• Adhere to all SNP Model of Care requirements and procedures.
• Complete timely and accurate documentation across multiple computer systems, including care plans, service plans, and progress notes as necessary within established timeframes.
• We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Skills

Bilingual English/Spanish

Strong communication

Leadership

Problem solving

Strategic mindset

Multitasking

Confidentiality

Critical thinking

Education

Associate's degree in nursing

Bachelor's degree in nursing

CA RN license

Graduate/Advanced degree

Job description

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. *This is a temporary telephonic remote role that will work part-time during pacific time zone business hours - CA RN Required*

The Job 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 care management, disease management, and complex and enhanced care management programs at SCAN.

You Will Perform initial and annual telephonic assessments in conjunction with a Community Health Worker for Medi-Cal/Medicare dually eligible members referred to Care Coordination for Long-Term Services and Supports (LTSS) and in determining Nursing Facility Level of Care.

Ensure the clinical appropriateness of member-centered care plans by evaluating assessment findings against evidence-based guidelines, clinical reasoning, and best practices.

Integrate clinical insights and community standards to develop comprehensive and effective care strategies.

May participate 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.

Build strong working relationships with the Medical Groups team.

As needed, provide education, coaching, and disease management for chronic conditions by identifying new and preventable interventions to avoid exacerbations or worsening conditions

Promote member engagement and patient activation to ensure optimal self-management for successful health outcomes

Demonstrates organizational, decision-making, critical thinking, and multi-tasking skills as demonstrated by problem solving and achieving successful member outcomes.

Adhere to all SNP Model of Care requirements and procedures.

Complete timely and accurate documentation across multiple computer systems, including; care plans, service plans, and progress notes as necessary within established timeframes.

Completes timely and accurate documentation in multiple computer systems to complete assessment and corresponding documentation: care plans, service plans, authorizations, and progress notes as necessary.

Comply with all regulatory and quality agency standards including Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DHC), and Department of Health Care Services (DHCS) Actively Adheres to all quality, compliance, and regulatory standards.

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

• Associate's degree in nursing (ADN/ASN) required.
• Bachelor's degree in nursing (BSN) strongly preferred.
• Graduate or Advanced Degree preferred.
• CA Registered Nurse (RN) required.
• BILINGUAL English/Spanish preferred. (Test will be administered to assess proficiency if applicable.)
• 3+ years managed care, healthcare environment, or case management.
• 2+ years working with seniors and working remotely strongly preferred.
• Leadership - Skilled to develops others
• Problem Solving - Make critical decisions, often involving high-level risk assessment and the ability to adapt to changing circumstances
• Strategic Mindset - Formulates strategy and maps steps to achieve strategic goals
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills.
• Strong critical thinking skills.
• Ability to multitask.
• Ability to appropriately maintain confidentiality.
• General understanding of NCQA standards, CMS and DHCS regulations.
• General knowledge of medical terminology and abbreviations.
• Deep understanding of local community resources for seniors.

What's in it for you?

• This is a temporary opportunity for a limited period of time
• Base Pay Range: $50-55 per hour
• Work Mode: Remote
• Medical Benefits
• Paid Sick Time
• Excellent 401(k) Retirement Saving Plan
• Robust employee recognition program
• 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.

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)

Become part of a mission-driven team that makes a difference in the lives of seniors every day. SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion.

Why consider a career at SCAN?

• A competitive compensation and benefits program;
• An annual employee bonus program;
• Generous paid-time-off (PTO);
• Eleven paid holidays per year;
• Excellent Retirement Savings program;
• A work-life balance; and
• An opportunity to become part of a team that makes a difference to our members and our community every day!