Bilingual Spanish RN, Care Management

Overview

Join to apply for the Bilingual Spanish RN, Care Management role at SCAN
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SCAN Group is a not‑for‑profit organization dedicated to tackling the most pressing issues facing older adults in the United States. It is the sole corporate member of SCAN Health Plan, a leading Medicare Advantage plan serving over 277,000 members in California, Arizona, Nevada, Texas and New Mexico. With more than 45 years of experience, SCAN is known nationally as a senior‑healthcare expert and is committed to keeping seniors healthy and independent.

• Field position with 80% travel in & around Riverside County
• CA RN required – M–F 8 am–5 pm Pacific Time work hours

• Provide timely assessment and triage, resolving complex medical/clinical, safety or access issues and special programs.
• Deliver longitudinal care management: coaching, education, navigation, physical assessment, recommendations to PCPs, and referrals to community‑based resources.
• Promote member engagement and patient activation to ensure optimal self‑management for successful health outcomes.
• Demonstrate organizational, decision‑making, critical‑thinking and multi‑tasking skills, achieving successful member outcomes.
• Adhere to SNP Model of Care requirements and procedures.
• Complete timely and accurate documentation across multiple platforms, including care plans, service plans, authorizations and progress notes within established time frames.
• Comply with all regulatory and quality agency standards, including CMS, DHC and DHCS.
• Delegate to other members of the care team as appropriate, acting as the leader of a care‑management pod structure.
• Assess environmental safety in collaboration with other healthcare team members.
• Support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

• Bachelor's degree in nursing (BSN) required.
• CA Registered Nurse (RN) required.
• Graduate or advanced degree or equivalent experience preferred.
• Certified Case Manager preferred.
• Bilingual in English/Spanish required. (Proficiency will be tested.)
• 3+ years in managed care, healthcare environment, or case management.
• 2+ years working with seniors and working remotely strongly preferred.
• Leadership experience – skilled at developing others.
• Problem‑solving: make critical decisions involving high‑level risk assessment and adapt to change.
• Strategic mindset – formulate strategy and map steps to achieve strategic goals.
• Strong interpersonal, written and verbal communication skills.
• Strong organizational and 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.
• Travel 80+% of the time within Riverside County.
• Must have a valid driver’s license, automobile insurance and reliable transportation.

To ensure the health and safety of our members, a job offer will be contingent upon providing proof of tuberculosis screening upon hire or proof of a negative screening within the last year. SCAN will engage in an interactive process to evaluate reasonable accommodations if a disability or sincerely held religious belief prevents providing information required in this policy.

• Base salary range: $44.42 to $61.20 per hour.
• Remote/field position.
• An annual employee bonus program.
• Robust wellness program.
• Generous paid‑time‑off (PTO).
• Eleven paid holidays per year, plus one floating holiday and one birthday holiday.
• Excellent 401(k) retirement savings plan with employer match and contribution.
• Robust employee recognition program.
• Tuition reimbursement.

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 identity or expression, marital status, disability, protected veteran status or any other status protected by law. A background check is required.