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Care Coordination Manager
2 months ago
SCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, SCAN serves over 270,000 members across California, Arizona, Nevada, Texas, and New Mexico. With a mission-driven approach spanning over 40 years, SCAN has established itself as a leading expert in senior healthcare, committed to keeping seniors healthy and independent.
The RoleThis position plays a critical role in enhancing members' ability to manage their health and live independently by overseeing teams that provide education and assistance with navigating the healthcare system and managing their health. The successful candidate will be responsible for managing day-to-day operations, ensuring alignment with and achievement of department goals and objectives.
Key Responsibilities- Manages teams through oversight of day-to-day operations and productivity to ensure alignment with and achievement of department goals and objectives.
- Manages workflow and assigns priorities and projects to ensure completion of required activities within designated timeframes.
- Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe and secure work environment; developing personal growth opportunities.
- Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; initiating, coordinating, and enforcing systems, policies, and procedures.
- Assures HCS Policy and Procedures, desktop procedures, training materials, and program communications are current and accurately reflect the processes and regulatory requirements of the Care Coordination Department.
- Facilitates meetings, trains staff to deliver care coordination following SCAN and department policy and procedures to achieve organizational goals and outcomes.
- Acts as department subject matter expert.
- Represents department at assigned committees to support two-way communication between departments and committees as appropriate.
- Provides clinical and non-clinical support to supervisors and staff for escalated issues and concerns.
- Partners with stakeholders and department management to create and review department metric reporting for productivity and efficacy to support organizational vision and goals.
- Participates in the development and analysis of monthly metrics reporting.
- Assists Director in preparation of annual program evaluation, projects, and other activities as requested by management.
- Promotes compliance with and adheres to all regulatory and quality standards including but not limited to: Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), and accreditation bodies' standards such as the National Committee for Quality Assurance (NCQA) as it relates to Care Coordination activities.
- Actively supports the achievement of SCAN's Vision and Goals.
The ideal candidate will possess a Bachelor's or Master's Degree, or a comparable combination of education/experience and/or training. A Registered Nurse (Current and active California RN license in good standing) is strongly preferred. The candidate should have 5+ years of experience in healthcare, medical management, change management, and/or leadership, with demonstrated management experience. Working knowledge of related NCQA standards, SNP requirements, and CMS and DHS regulations is also required.
What's in it for you?As a member of the SCAN team, you can expect a competitive base salary range of $92,400.00 to $147,800.00 per year, a work mode that is mostly remote with Pacific Time business hours, an annual employee bonus program, robust wellness program, generous paid-time-off (PTO), ten paid holidays per year, plus one additional floating holiday, plus one birthday holiday, excellent 401(k) Retirement Saving Plan with employer match and contribution, robust employee recognition program, tuition reimbursement, and an opportunity to become part of a team that makes a difference to our members and our community every day.
