Care Management Coordinator

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $23 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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 and manage care services for patients • Ensure high-quality, timely, and coordinated care • Document care in compliance with International Classification of Diseases (ICD) coding standards • Work closely with healthcare providers to develop care plans • Coordinate referrals and ensure patient progress • Review medical records • Identify coding discrepancies • Provide education and guidance to internal and external staff on ICD coding guidelines • Ensure member needs are addressed and refer members to appropriate service providers • Administer procedures for verifying member identity, membership status, and entitlement to services • Maintain current and accurate membership databases and records • Suggest new service offerings or revisions to existing programs based on member feedback or gaps in coverage • Participate in member retention or renewal efforts • Support the achievement of SCAN’s Vision and Goals

🎯 Requirements

• High School Diploma or equivalent experience • 0-3+ years of related experience • Performs work under minimal supervision • Handles complex issues and problems, referring only the most complex issues to higher-level staff • Comprehensive knowledge of subject matter • Provides leadership, coaching, and/or mentoring to a subordinate group • May act as a lead or first-level supervisor • PC skills including Email, Word, Excel, and PowerPoint • Basic technical skills for the functional area • Basic problem-solving skills • Good communication and interpersonal skills • Oral and written communication skills • Interpersonal skills • Customer/client orientation • Customer service skills • Problem/Situation Analysis • Knowledge of ICD coding principles • Strong attention to detail and work ethic • Background check required

🏖️ Benefits

• Mostly Remote work mode • 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 • Training, tools and support necessary to do your work • Work-life balance • Competitive compensation and benefits program