Remote RN: Senior Care & Care Coordination

SHPCA SCAN Health Plan; California (MO); Hybrid; USD 69,000 - 76,000; Full time

Benefits offered by this job

Medical Benefits

401(k) Retirement Saving Plan

Paid Sick Time

Annual bonus program

Job summary

SCAN Health Plan is seeking a California RN for a remote, telephonic care coordination role. You will assess and manage care for Medi-Cal/Medicare beneficiaries, develop plans of care, and coach patients to manage chronic conditions.

The position supports LTSS, ECM activities, and interdisciplinary collaboration to improve health outcomes. The ideal candidate holds ASN (BSN preferred), CA RN license, and 3+ years in managed care, with remote work experience preferred.

Qualifications

• ASN required; BSN strongly preferred; graduate degree preferred.
• CA RN eligible.
• Bilingual English/Spanish preferred.
• 3+ years managed care, healthcare environment, or case management.
• 2+ years working remotely strongly preferred.

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.
• Perform initial and annual telephonic assessments with LTSS and Medi-Cal/Medicare dually eligible members referred to Care Coordination for LTSS.
• Perform Enhanced Care Management activities for targeted Populations of Focus (POF).
• Ensure the clinical appropriateness of member-centered care plans by evaluating assessment findings against guidelines.
• Integrate clinical insights to develop comprehensive care strategies.
• Participate in interdisciplinary planning and case conferences to ensure patient-centered care after discharge.
• Build relationships with the Medical Groups team and provide education and disease management for chronic conditions.
• Adhere to SNP Model of Care requirements and ensure timely documentation across systems.

Skills

Nursing leadership

Problem solving

Strategic mindset

Interpersonal skills

Multitasking

Communication skills

Education

Associate's degree in nursing (ASN)

Bachelor's degree in nursing (BSN)

Graduate or Advanced Degree

Job description

SCAN Health Plan is seeking a California RN for a remote, telephonic care coordination role. You will assess and manage care for Medi-Cal/Medicare beneficiaries, develop plans of care, and coach patients to manage chronic conditions.

The position supports LTSS, ECM activities, and interdisciplinary collaboration to improve health outcomes. The ideal candidate holds ASN (BSN preferred), CA RN license, and 3+ years in managed care, with remote work experience preferred.