Supervisor, Care Management

SCAN Health Insurance; Oregon; Ibrido; USD 80.000 - 130.000; Tempo pieno

Vantaggi offerti da questo lavoro

Annual bonus

Wellness program

PTO

Holidays

401(k) employer match

Tuition reimbursement

Remote work

Team recognition

Descrizione del lavoro

SCAN Health Insurance is hiring a remote Care Management Team Leader to oversee the day-to-day operations of a multidisciplinary team serving seniors enrolled in Medicare/Medicaid programs. The role emphasizes regulatory compliance, care quality, and coordinated member support across telephonic and field staff.

The position requires 2+ years in managed care or case management, strong leadership, and excellent communication. Most work is remote with occasional on-site collaboration as needed.

Competenze

• Bachelor's degree or equivalent experience.
• 2+ years experience in managed care, healthcare environment, or case management.
• 2+ years working remotely strongly preferred.
• Bilingual ability strongly preferred.

Mansioni

• Oversee day-to-day operations of a multidisciplinary care management team.
• Define daily priorities for telephonic and field staff and ensure regulatory compliance.
• Provide performance updates and coaching through regular meetings.
• Resolve escalated issues with members, providers, and external departments.
• Develop and oversee chronic disease management programs.
• Maintain policy and procedure alignment with regulatory standards.
• Lead team meetings and special projects balancing priorities.
• Utilize motivational interviewing to address member concerns and de-escalate when needed.

Conoscenze

Leadership

Problem solving

Communication

Bilingual ability

Interpersonal skills

Organizational skills

Critical thinking

Collaboration

Confidentiality

Medical terminology

CMS regulations

DHCS regulations

Local resources

Formazione

Bachelor's or equivalent

Advanced degree preferred

Descrizione del lavoro

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 remote role that will work Pacific Time Zone business hours*

The JobContributes to the care and well-being of SCAN's most complex members, empowering members to age in place by overseeing the day-to-day operations and outcomes of a multidisciplinary care management team. Defines daily priorities for telephonic and field staff and responsible for team compliance with all regulatory requirements, clinical standards and internal policies and procedures so staff can focus on addressing members' care management needs, supporting navigation of the healthcare system, and responding to and resolving escalated issues with compassion and efficiency. Implements and oversees chronic disease management programs.

You Will

Supervises the day-to-day operations, productivity, and quality of a multidisciplinary team to ensure alignment with and achievement of department goals and objectives.

Monitors performance and compliance with regulatory requirements, clinical standards, and internal policies and procedures through frequent oversight of reports and auditing. This includes awareness of scope of practice and licensure requirements for functions overseen.

Provides team with ongoing performance updates and support through regular one-on-one meetings and ad hoc consultations.

Acts as subject matter expert for team, members, providers, internal and external departments for interpretation and administration of various benefits/programs, and to troubleshoot a wide range of extremely complex psychosocial and escalated access issues for dually enrolled Medicare/Medi-Cal SCAN beneficiaries and other SCAN members.

Ensures that department policy and procedures, desktop procedures, workflows, job aides, training materials, are current and accurately reflect processes to provide consistent quality care and meet compliance with regulatory requirements.

Demonstrates high level organizational, analytical, critical thinking, and leadership skills to resolve issues and assist team members with members, providers, vendors, and other internal and external departments.

Facilitates team meetings, keeps accurate documentation, and leads special projects with an ability to balance competing priorities.

Uses advanced motivational interviewing techniques to understand and accurately address member concerns, and to de-escalate when needed to minimize conflict and avoid grievances from members and providers.

Exhibits professionalism and empathy in all interactions and able to de-escalate tense situations with staff, members, provider partners, and other departments.

Provides staff coaching and education to both telephonic and field-based staff. Develop and implement leadership development plans for staff with growth potential. Develop performance improvement plans and implement corrective action measures as needed.

Maintains skill in software applications that are integral to the job functions and assumes role of primary trainer. Also, make recommendations on technology improvement opportunities to streamline workflows and processes.

Adhere to all quality, compliance, and regulatory standards.

Supervises/Manages Others (i.e. hires, performance reviews, corrective action, etc.)

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

Required: Bachelor's Degree or equivalent experience. Preferred: Graduate or Advanced Degree or equivalent experience.

2+ years experience working in managed care, healthcare environment, or case management.

2+ years working with seniors and working remotely strongly preferred.

• Leadership - Basic skills to develop others
• Problem Solving - Basic problem-solving skills
• Communication - Good communication and interpersonal skills
• Bilingual ability strongly preferred.
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills.
• Strong critical thinking skills.
• Ability to collaborate effectively within a multidisciplinary team, both within SCAN and with provider partners.
• Ability to appropriately maintain confidentiality
• Strong knowledge of medical terminology and abbreviations
• Deep understanding of CMS and DHCS regulations, including Special Needs Plan requirements
• Deep understanding of local community resources for seniors

What's in it for you?

• * Base salary range: $80,300 to $130,000 per year
• * Work Mode - Mostly Remote: Employees who reside outside the local area are expected to work remotely and travel to SCAN's headquarters approximately once per month for in-person meetings, team collaboration, training, and other business needs. SCAN's headquarters is currently located in Long Beach, California, and is expected to relocate to Cerritos, California, in 2027.
• * An 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
• * 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!

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 Affidative 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.

#LI-DNI#SCANONLYEqual Opportunity Employer/Protected Veterans/Individuals with Disabilities

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)