- Specialty: Case Management
- Job type: Full-time
- Salary: Salary not listed
- License states: District of Columbia, Maryland, Virginia
- Hybrid
Hybrid
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At a glance
Field-based RN care planning for a Medicare Advantage nonprofit health plan, serving frail older adults in Los Angeles County. Conducts in-home assessments, certifies nursing-home eligibility, and develops care plans to help members remain safely at home. Requires an active California RN license, 3+ years of assessment
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.
Provide long-term care management to frail, economically disadvantaged, culturally diverse older adults, disabled adults and caregivers in order to help them remain safely at home and to prevent premature institutionalization.
Assess new clients and determine appropriateness for the MSSP program, certify the client as nursing home eligible, conduct assessments and reassessments for identification of client’s medical, physical, and psychological needs.
Ensure client’s needs are met through written care plan approved by the program supervisor and discussed verbally with the client and/or his representative.
Provide ongoing health education to non-clinical staff members.
Present cases at and participates in weekly team case conference per guidelines. Discuss during case conference complex health care issues for teaching purposes.
Contact client’s physician as needed to discuss health problems identified during assessments.
Provide education to the client or family member regarding topics including self-care, hygiene, and nutrition.
Collaborate with staff, clients, physicians, home health, community services, family members, hospital discharge planners, and other professionals involved in the care of the client to assure appropriate services, and safe living environment below the cost of a skilled nursing facility.
Maintain monthly documentation of clients along with other clinical documentation of relevant contacts with clients, service providers, health professionals, or other community agencies in a timely manner.
Maintain accurate purchase of service records by completing accurate and timely monthly service authorizations and verifications to contracted vendors and following contract guidelines for service expenditures.
Develop and implement care plans for assigned caseload.
Help to maintain census and provide excellent customer service in the community by participating in ongoing outreach activities.
Participate regularly in Quality Assurance chart reviews, completing other audits as required, helping to train new employees, participating in training sessions, and responding positively to suggestions for improvement.
Increase knowledge by keeping current on Medicare and Medi-Cal policies, Federal and State legislation affecting health and social services, maintaining updated community resource information, attending trainings as scheduled, actively participating in supervision, and striving to improve professionally.
Other duties as assigned.
Nursing degree required. Bachelor's degree in Nursing (BSN) preferred.
Registered Nurse required; Current and active California RN license in good standing.
3+ years experience with health assessments, level of care criteria, care planning, and case documentation.
Experience working with older adults and conducting home visits highly desirable, as is experience with mental health and/or substance abuse issues.
Ability to travel within program’s catchment area and visits to client homes is required.
Knowledge of environmental concerns of older adults. Theoretical understanding of the developmental needs for this population and means for intervention.
Ability to perform home assessments, telephone monitoring, and travel to client homes throughout Los Angeles County.
Ability to work as a part of a team, while at the same time performing job independently.
Strong organizational, verbal, and written communication skills.
Ability to work well with others required.
Demonstrates keen attention to detail and customer focus.
Ability to prioritize multiple and competing tasks.
Ability to work well in a fast-paced and dynamic environment.
Available to work Monday-Friday, 8am to 5pm with extended work hours, as needed and extensive simultaneous computer and telephone usage.
Demonstrated customer focus and experience working in a case management setting, and a demonstrated knowledge of case management techniques is preferred.
BILINGUAL- Must be bilingual in English/Korean. (Test will be administered to assess proficiency.)
Travel 50+% of the time in the assigned area- Must have a valid driver’s license, automobile insurance and reliable transportation.
To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available.
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.
The 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)
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