Care Management Coordinator, Integrated Care Delivery

Company: SCAN Health Plan
Location: Long Beach
Posted on: January 26, 2023

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

• High School Diploma or GED required. Bachelor's Degree preferred
• 2+ years of experience as an care coordinator in care management department
• Ability to communicate effectively verbally and in writing
• Highly organized with attention to detail
• Strong interpersonal skills, hospitality, and change agent mindset
• Adaptable and open to changeTo ensure a healthy and safe work environment, if you are selected for this position, your job offer with SCAN Health will be contingent upon being fully vaccinated and providing proof of your COVID-19 vaccine within 3 days after your start date. Generally, you are considered fully vaccinated 14 days after receiving the last dose, as recommended by the manufacturer, of a vaccine that has been authorized by the FDA for use in the United States, including vaccinations that have been approved pursuant to an Emergency Use Authorization. If fully vaccinated outside of the United States, the vaccination must be listed for emergency use by the World Health Organization (WHO). If you cannot receive the vaccine because of a disability/medical reason or sincerely-held religious belief, you may request an accommodation to this requirement by contacting COVID-19 Vaccination Policy . Learn more about the COVID-19 vaccination here - https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html What's in it for you?
  • A competitive compensation and benefits program -
  • An annual employee bonus program
  • Robust Wellness Program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year, plus 1 additional floating holiday
  • Excellent 401(k) Retirement Saving Plan with employer match
  • Robust employee recognition program
  • 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. #LI-JA1Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe 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)

Keywords: SCAN Health Plan, Long Beach , Care Management Coordinator, Integrated Care Delivery, Executive , Long Beach, California