Care Management Coordinator, Integrated Care Delivery
Company: SCAN Health Plan
Location: Long Beach
Posted on: January 26, 2023
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Job Description:
Care Management Coordinator, Integrated Care Delivery As one of
the nation's largest not-for-profit Medicare Advantage plans,
serving more than 270,000 members in California, Arizona, and
Nevada, SCAN Group has been a mission-driven organization dedicated
to keeping seniors healthy and independent for over 40 years. SCAN
employees are passionate about what they do, and understand that
success is based on achieving the mission. Employees are afforded
with the training and tools necessary to do their jobs and are
rewarded for their efforts and recognized as experts in their
fields. To learn more, visit thescangroup.org or follow us on
social media: -LinkedIn ; -Facebook ; and -Twitter .The JobThe Care
Management Coordinator will support Integrated Care Case Managers
in the day-to-day clinical operations to improve member outcomes
and timely care coordination in partnership with and under guidance
of the Integrated Care Delivery Care Team according to Care
Management protocol, policy, and procedure.You WillManage daily
Inpatient contracted/non-contracted hospital census and Skilled
Nursing census; confirm admissions/discharges and reconcile
census.Close cases for inpatient/skilled nursing discharges and
send out appropriate documents to patients and Primary Care
Physicians.Support coordination of timely delivery of last day
cover letters to skilled nursing facilities according to Care Team
protocol.Support coordination of discharge needs from inpatient
acute settings and skilled nursing facilities as appropriate for
each member. Discharge needs may include: durable medical
equipment, home health services, specialist referrals, skilled
nursing placement, transportation, etc. according to Care Team
protocol.Review tasks assigned by Integrated Care Nurse
Practitioners and coordinate member needs accordingly such as: home
health request, wound care supplies, Foley supplies, colostomy
supplies and outpatient services such as blood transfusion or
interventional radiology services.Support coordination of direct
admissions to skilled nursing facilities from assisting living
facilities or board care setting according to Care Team
protocol.Support coordination of ER transfer versus direct
admissions to inpatient setting from assisted living facilities or
board care setting according to Care Team protocol.Track patients
referred to hospice care, assign task in EHR and follow-up each
month to verify hospice status.Manage faxes -received -in -Medhok
-system.Promote the mission, vision, and values of SCAN Health Plan
and serve as an ambassador when interfacing with external
stakeholders. Other duties as assigned. Your Qualifications
Keywords: SCAN Health Plan, Long Beach , Care Management Coordinator, Integrated Care Delivery, Executive , Long Beach, California
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