What are the responsibilities and job description for the Care Management Coordinator - ICD position at HealthCHEC?
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
The Care Management Coordinator will support Integrated Care Case Managers in the day-to-day clinical operations to improve member outcomes and timely care coordination in partnership with and under guidance of the Integrated Care Delivery Care Team according to Care Management protocol, policy, and procedure.
You Will
Manage daily Inpatient contracted / non-contracted hospital census and Skilled Nursing census; confirm admissions / discharges and reconcile census.
Close cases for inpatient / skilled nursing discharges and send out appropriate documents to patients and Primary Care Physicians.
Support coordination of timely delivery of last day cover letters to skilled nursing facilities according to Care Team protocol.
Support coordination of discharge needs from inpatient acute settings and skilled nursing facilities as appropriate for each member. Discharge needs may include : durable medical equipment, home health services, specialist referrals, skilled nursing placement, transportation, etc. according to Care Team protocol.
Review tasks assigned by Integrated Care Nurse Practitioners and coordinate member needs accordingly such as : home health request, wound care supplies, Foley supplies, colostomy supplies and outpatient services such as blood transfusion or interventional radiology services.
Support coordination of direct admissions to skilled nursing facilities from assisting living facilities or board care setting according to Care Team protocol.
Support coordination of ER transfer versus direct admissions to inpatient setting from assisted living facilities or board care setting according to Care Team protocol.
Track patients referred to hospice care, assign task in EHR and follow-up each month to verify hospice status.
Manage faxes received in Medhok system.
Promote the mission, vision, and values of SCAN Health Plan and serve as an ambassador when interfacing with external stakeholders.
Actively support the achievement of SCAN's Vision and Goals.
This position is a patient-facing role.
Employees may be eligible for differential pay.
Other duties as assigned.
Your Qualifications
- High School Diploma or GED
- Bachelor's degree, preferred
A comparable combination of education / experience and / or training will be considered equivalent to the education listed above.
What's in it for you?
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.
LI-BB1 #LI-Remote
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)
Salary : $24 - $38
