Community Health Worker; Riverside

Company Background

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.

Position will work remote & in the field about 50% of the time in Riverside, CA & the surrounding areas

The Job Enhance seniors’ ability to manage their health and live independently by working with the care team to conduct home visits and patient assessments, advocating on behalf of the patient, communicating with the rest of the care team, and developing and implementing successful plans of care. You Will Conducts in-home or telephonic visits to assess the patient and home environment to identify physical, social, emotional, and knowledge barriers to optimal care and adherence to clinical recommendations.

Develops and implements a plan to address identified barriers in collaboration with patient, family and care team. Advocates for patients and families to help them receive the healthcare and assistance they need to remain as healthy as possible. Successfully helps patients and families to identify and utilize benefits and resources, including Medi Cal or SNP, drug subsidies, housing assistance or low-cost housing options, and transportation or caregiving.

Supports advanced care planning and goals-of-care conversations, helping patients and families to set realistic goals given the patient’s medical condition. Educates patients and families on chronic disease management, health system navigation, and other health topics. Helps patients to coordinate primary or specialty care, lab, imaging or other health care appointments and transportation to/from these appointments. Exhibits strong interpersonal, critical thinking and analytical skills through positive communication and formation of strong working relationships with patients, caregivers, care team, and community agencies.

Demonstrates excellent organizational, decision-making and prioritization skills as demonstrated by problem-solving and successful outcomes. Completes timely and accurate documentation in multiple computer systems to record assessments, observations and corresponding documentation, including care plans, and progress notes. Enhances skills and knowledge by participating in educational offerings, team case conferences and training, per department guidelines. Comprehensive knowledge of community and public resources serving the client population.

Utilizes and adheres to department desktop procedures, workflows, job aids and training material. Identifies barriers to work processes and brings to the attention of the supervisor/manager. Maintains the client‘s right to privacy and protects SCAN and Medical Group operations by keeping patient information confidential. 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.

• High School Diploma or equivalent experience.
• Associate's Degree or equivalent experience preferred.
• Community Health Worker Certificate preferred.
• Training or education in…