RN, Care Management

SCAN Health Plan; Los Angeles (CA); Hybrid; USD 61,000 - 84,000; Full time

Benefits offered by this job

Annual bonus program

Wellness program

PTO

Holidays & birthday

401(k) plan with employer match

Tuition reimbursement

Job summary

SCAN Health Plan seeks an RN in Care Management in Los Angeles, CA. This role enhances frail seniors' health management and independence through person-centered care and navigation of the healthcare system.

The position includes telephonic assessments, care planning, education, and collaboration with an interdisciplinary team to support chronic disease management and patient activation. Strong licensing and experience in managed care are required.

Qualifications

• ASN required; BSN preferred.
• 3+ years in managed care or case management.
• 2+ years working with seniors; remote work preferred
• CA RN license required
• Bilingual English/Spanish preferred

Responsibilities

• Perform initial and annual telephonic assessments for Medi-Cal/Medicare dually eligible members.
• Conduct California Integrated Care Management activities for specified populations.
• Ensure clinical appropriateness of member care plans based on assessments.
• Collaborate in interdisciplinary planning and case conferences.
• Provide education, coaching, and disease management for chronic conditions.
• Promote member engagement and patient activation for self-management.
• Document across multiple computer systems; comply with standards.

Skills

Managed care

Nursing assessments

Interdisciplinary collaboration

Patient education

Education

ASN

BSN

MS/Advanced degree

Job description

About This Role

The RN in Care Management at SCAN Health Plan will enhance frail seniors' ability to manage their health and live independently by providing person-centered care. This role is ideal for those passionate about supporting older adults in navigating the healthcare system.

Highlights

• Pay: $44 - $61/hour
• Location: Los Angeles, CA
• Schedule: Full-time

What You'll Do

• Perform initial and annual telephonic assessments for Medi-Cal/Medicare dually eligible members.
• Conduct nursing-related California Integrated Care Management activities for specific populations.
• Ensure clinical appropriateness of member-centered care plans based on assessments.
• Collaborate in interdisciplinary planning and case conference meetings.
• Provide education, coaching, and disease management for chronic conditions.
• Promote member engagement and patient activation for optimal self-management.
• Complete timely and accurate documentation across multiple computer systems.
• Comply with all regulatory and quality agency standards.
• Actively support the achievement of SCAN's Vision and Goals.
• Other duties as assigned.

Requirements

• Education:
  • Associate's degree in nursing (ASN) required
  • Bachelor's degree in nursing (BSN) preferred
  • Graduate or Advanced Degree preferred
• Experience:
  • 3+ years in managed care, healthcare environment, or case management
  • 2+ years working with seniors and working remotely strongly preferred
• Licenses & Certifications:
  • CA Registered Nurse (RN) required
  • Bilingual English/Spanish strongly preferred

Benefits

• Base salary range: $44.42 to $61.20 per hour
• 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
• Tuition reimbursement

About SCAN Health Plan

SCAN Health Plan is a nonprofit health organization dedicated to improving care for older adults. Founded in 1977, they serve over 500,000 people across multiple states, focusing on innovative care delivery models and a commitment to compassion and integrity.