Care Coordinator - Access Resolution Team

About SCAN

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

Contribute to the care and well-being of SCAN members, empowering them to age in place by collaboratively assessing, planning, coordinating, and monitoring their holistic needs. Focus on addressing members' care coordination needs, processing referrals and services, and supporting navigation of the healthcare system.

You Will

Perform assessments and screenings to determine and provide appropriate interventions and referrals.

Act as a triage and starting point of contact with members, providers, and medical groups for administration of various benefits/programs and to troubleshoot access issues for dually enrolled Medicare/Medi-Cal SCAN beneficiaries and other SCAN members as needed.

Use motivational interviewing techniques to understand and accurately address member goals and concerns.

Provide basic care management through coordination of care utilizing member benefits and community resources, addressing and resolving access to care issues to support better health outcomes and a positive member experience.

Complete timely and accurate documentation, such as assessments, care plans, service plans, and case notes, in multiple computer systems and ensure corresponding documentation is submitted within established timeframes and following department desktop procedures and/or training materials.

Demonstrate critical thinking skills to resolve issues with members, providers, and vendors.

Coordinate care and/or services through collaboration with county offices and governmental agencies (e.g. Social Security Administration, Department of Public Social Services, LA County Department of Mental Health) as needed.

Exhibit professionalism and empathy in all interactions with members and provider partners.

Utilize department desktop procedures, workflows, job aids and training material.

Adhere to all quality, compliance, and regulatory standards, and supports the achievement of SCAN's Vision and Goals.

All other duties as assigned.

Your Qualifications

High School Diploma required. Some college preferred.

Bilingual Spanish/English strongly preferred. A test will be administered to assess skills.

1 or more years of experience working in healthcare/customer service.

Technical expertise - Basic technical skills for functional area

Problem Solving - Basic problem-solving skills

Communication - Good communication and interpersonal skills

Use motivational interviewing techniques to understand and accurately address member concerns.

Ability to work in an environment where continuous coaching and feedback is the standard practice.

Basic interpersonal skills, including excellent written and verbal communication skills.

Basic organizational skills.

Basic critical thinking skills.

Ability to collaborate effectively within a multidisciplinary team.

Ability to appropriately maintain confidentiality.

General understanding of CMS and DHCS regulations.

General knowledge of medical terminology and abbreviations.

General knowledge of local community resources for seniors.

What's in it for you?
* Base salary range: $21.77 to $34.85 per hour
* Internal title - Care Coordinator
* Work Mode - Remote
* 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!

We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!

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

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