Manager, Care Coordination

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 www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.

The Job

Enhances members’ ability to manage their health and live independently by managing teams that provide education and assistance with navigating the healthcare system and managing their health, developing and monitoring processes to ensure compliance with regulatory requirements and best practices.

You Will

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 the 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 support the achievement of SCAN’s Vision and Goals.

Other duties as assigned.

Your Qualifications

Preferred, but not required: Bachelor’s or Master’s Degree

A comparable combination of education/experience and/or training will be considered equivalent to the education listed

Registered Nurse (Current and active California RN license in good standing) strongly preferred

5+ years of experience in healthcare, medical management, change management, and/or leadership.

Demonstrated management experience.

Working knowledge of related NCQA standards, SNP requirements, and CMS and DHS regulations.

Knowledge and/or familiarity with the principles of project and program management.

Demonstrated ability to develop and implement new, replacement systems, and gain buy-in from appropriate audience.

Able to lead and influence those without direct reporting relationships to achieve desired outcomes.

Ability to communicate with clarity, the vision, value, and tasks to formal and informal audiences.

Able to develop relationships quickly and leverage working relationships to drive performance outcomes.

Ability to work with all levels of staff, within and external to the organization to achieve goals.

Strong interpersonal skills, including excellent written and verbal communication skills.

Strong organizational skills; Ability to multitask and to appropriately maintain confidentiality.

What's in it for you?

Base salary range: $92,400.00 to $147,800.00 per year
Work Mode - Mostly Remote (position will work Pacific Time business hours)
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Ten 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
An opportunity to become part of a team that makes a difference to our members and our community every day

We're always looking for talented people to join our team Qualified applicants are encouraged to apply now

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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