Care Coordinator – Health Plan

🔥 5 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $21 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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

• Assess and screen members to determine and provide appropriate interventions and referrals • Serve as a triage and starting point of contact with members, providers, and medical groups for administration of benefits/programs and troubleshooting access issues • Use motivational interviewing to understand and address member goals and concerns • Coordinate care and services using member benefits and community resources • Address and resolve access-to-care issues to support health outcomes and member experience • Complete timely and accurate assessments, care plans, service plans, and case notes in multiple computer systems • Submit documentation within established timeframes and follow department procedures and training materials • Apply critical thinking to resolve issues with members, providers, and vendors • Coordinate with county offices and governmental agencies as needed • Exhibit professionalism and empathy in member and provider interactions • Perform work under direct supervision, handling basic issues and referring complex issues to higher-level staff • Support SCAN’s Vision and Goals • Perform other duties as assigned

🎯 Requirements

• High School Diploma required; some college preferred • 0-3 years working in healthcare/customer service • Ability to use motivational interviewing techniques to understand and accurately address member concerns • Ability to work in an environment where continuous coaching and feedback is the standard practice • Basic interpersonal skills, including excellent written and verbal communication skills • Basic organizational skills • Basic critical thinking skills • Ability to collaborate effectively within a multidisciplinary team • Ability to appropriately maintain confidentiality • General understanding of CMS and DHCS regulations • General knowledge of medical terminology and abbreviations • General knowledge of local community resources for seniors • Spanish strongly preferred: conversational (oral), reading, and writing • Microsoft Office skills (Word, Excel, PowerPoint, Outlook, Teams) are required • Background check is required

🏖️ Benefits

• An annual employee bonus program • Robust Wellness Program • Generous paid-time-off (PTO) • Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday • Excellent 401(k) Retirement Saving Plan with employer match and contribution • Robust employee recognition program • Tuition reimbursement • Equal pay, employee resource groups, inclusive benefits, and more