Care Manager, LVN

🔥 1 hour ago

🇺🇸 United States – Remote

💵 $34 - $55 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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SCAN

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1977

🏥 Healthcare

⚕️ Healthcare Insurance

👥 B2C

Healthcare • Healthcare Insurance • B2C

SCAN is a mission-driven healthcare organization focused on reinventing aging by delivering evidence-based, patient-centered care and coverage for older adults. It operates an integrated portfolio including health insurance plans with innovative benefits, in-home and virtual primary care, support programs for caregivers and homebound older adults, and specialized services for vulnerable populations. SCAN also invests in and partners with companies that advance care models and resources to help older adults remain healthy and independent at home.

📋 Description

• Coordinate care for members in collaboration with the Integrated Care Team • Ensure members receive high-quality, timely, and coordinated care • Authorizes services based on knowledge and skills in areas of utilization management, medical necessity, and patient status determination • Conducts pre-service and concurrent review following established guidelines • Applies care management principles and practices • Serve as point person to speak with patients, family members, and providers • Coordinate inpatient and outpatient care or services • Issue determinations within required regulatory timeframes • Develop effective working relationships and provide clinical guidance to Care Coordinators • Promote the mission, vision, and values of SCAN Health Plan

🎯 Requirements

• Associate's Degree or equivalent experience • 3-5 years of related experience • CA LVN license • Problem-Solving • Strong Communication • Customer/client focused • Detail oriented • Responsible

🏖️ Benefits

• Annual bonus program • Robust Wellness Program • Generous paid-time-off (PTO) • Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday • Excellent 401(k) Retirement Saving Plan with employer match and contribution • Robust employee recognition program • Tuition reimbursement