*This role is offering a 10k sign on bonus **This is a field/remote based role. Travel will be throughout LA County*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 270,000 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 40 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 thescangroup. org, scanhealthplan. com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
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.
You Will
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.
Your Qualifications
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.
Tuberculosis Screening Policy
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.
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