Role Description
Contribute to the care and well-being of SCAN members, empowering them to age in place by collaboratively assessing, planning, coordinating, and monitoring their holistic needs. Focus on addressing membersβ care coordination needs, processing referrals and services, and supporting navigation of the healthcare system.
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Perform assessments and screenings to determine and provide appropriate interventions and referrals.
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Act as a triage and starting point of contact with members, providers, and medical groups for administration of various benefits/programs and to troubleshoot access issues for dually enrolled Medicare/Medi-Cal SCAN beneficiaries and other SCAN members as needed.
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Use motivational interviewing techniques to understand and accurately address member goals and concerns.
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Provide coordination of care utilizing member benefits and community resources, addressing and resolving access to care issues to support better health outcomes and a positive member experience.
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Complete timely and accurate documentation, such as assessments, care plans, service plans, and/or care notes, in multiple computer systems and ensure corresponding documentation is submitted within established timeframes and following department desktop procedures and/or training materials.
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Demonstrate critical thinking skills to resolve issues with members, providers, and vendors.
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Coordinate care and/or services through collaboration with county offices and governmental agencies (e.g. Social Security Administration, Department of Public Social Services, LA County Department of Mental Health) as needed.
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Exhibit professionalism and empathy in all interactions with member and provider partners.
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Utilize department desktop procedures, workflows, job aids and training material.
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Adhere to all quality, compliance, and regulatory standards.
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Actively support the achievement of SCANβs Vision and Goals.
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Other duties as assigned.
Qualifications
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High School Diploma required. Some college preferred.
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Bilingual - Must be bilingual English and Spanish or Vietnamese, or Cantonese or Mandarin. A test will be administered to assess skills.
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1 or more years of experience working in healthcare/customer service.
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Technical expertise - Basic technical skills for functional area.
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Problem Solving - Basic problem-solving skill.
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Communication - Good communication and interpersonal skills.
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Use motivational interviewing techniques to understand and accurately address member concerns.
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Ability to work in an environment where continuous coaching and feedback is the standard practice.
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Basic interpersonal skills, including excellent written and verbal communication skills.
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Basic organizational skills.
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Basic critical thinking skills.
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Ability to collaborate effectively within a multidisciplinary team.
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Ability to appropriately maintain confidentiality.
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General understanding of CMS and DHCS regulations.
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General knowledge of medical terminology and abbreviations.
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General knowledge of local community resources for seniors.
Requirements
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Remote role that will work 8-5 M-F Pacific Time Zone hours.
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Candidate must be bilingual English and Spanish or Vietnamese, or Cantonese or Mandarin.
Benefits
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Base salary range: $21.78 to $25.00 per hour.
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Remote position.
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An annual employee bonus program.
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Robust Wellness Program.
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Generous paid-time-off (PTO).
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Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday.
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Excellent 401(k) Retirement Saving Plan with employer match and contribution.
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Robust employee recognition program.
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Tuition reimbursement.
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An opportunity to become part of a team that makes a difference to our members and our community every day!