[Hiring] Senior Care Coordinator @SCAN Health Insurance

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, including behavioral health and psychosocial needs. Provide guidance and care coordination to reduce barriers to care, improve engagement, and support continuity across behavioral health and medical services. Focus on addressing members’ care coordination needs, processing referrals and services, connecting members to appropriate resources, supporting navigation of the healthcare system, and responding to and resolving escalated issues with compassion and efficiency.

Responsibilities

• Perform general and behavioral health screenings to determine and provide appropriate referrals, completing initial screening in a timely manner of receiving a new referral.
• Actively participate in special projects with an ability to balance competing priorities and/or serve as a SCAN liaison with behavioral health providers.
• Act as a point of contact with members, providers, and medical groups for interpretation and administration of various benefits/programs.
• Connect members to appropriate behavioral health services (e.g., therapy, psychiatry, intensive outpatient or partial hospitalization) and social support (e.g., case management and supplemental SCAN benefits).
• Troubleshoot a wide range of complex psychosocial and escalated access issues for SCAN members.
• Use advanced motivational interviewing techniques to understand and accurately address member goals and issues.
• Provide education to members and/or caregivers on behavioral health care journeys and options.
• Provide coordination of care utilizing an advanced level of understanding about member benefits.
• Assist with contacting behavioral health providers to identify appointment availability and support scheduling as needed.
• Facilitate communication between members, providers, and care teams to ensure coordinated care.
• Complete timely and accurate documentation in multiple computer systems/programs.
• Demonstrate an advanced level of understanding and practice of organizational, analytical, critical thinking, and leadership skills.
• Educate SCAN network providers as needed on contract requirements and ability to serve SCAN members.
• Exhibit professionalism and empathy in all interactions.
• Utilize and assist in the development of department desktop procedures, workflows, job aids, and training material.
• Perform work under minimal supervision and handle complex issues and problems.
• Actively support the achievement of SCAN’s Vision and Goals.
• Other duties as assigned.

Qualifications

• High School Diploma required.
• Some college preferred.
• 5+ years working in managed care, healthcare environment, or behavioral health case management.
• 2+ years working with seniors and working remotely strongly preferred.
• Bilingual Spanish strongly preferred (Conversational, Oral, Reading, Writing).
• Strong interpersonal skills, including excellent written and verbal communication skills.
• Strong organizational skills and critical thinking skills.
• Ability to collaborate effectively within a multidisciplinary team.
• Strong knowledge of medical terminology and abbreviations.
• Deep understanding of CMS and DHCS regulations, including Special Needs Plan requirements.
• Deep understanding of local community resources for seniors.

Requirements

• Technical expertise - Advanced technical skills for functional area.
• Problem Solving - Basic problem-solving skills.
• Ability to work in an environment where continuous coaching and feedback is the standard practice.
• Ability to proactively seek out answers, work independently, and serve as a subject matter expert.
• Ability to appropriately maintain confidentiality.

Benefits

• Base salary range: $25.38 to $35.01 per hour.
• Remote position.
• 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.
• An opportunity to become part of a team that makes a difference to our members and our community every day!