Disease Management, Registered Nurse - Long Beach, United States - SCAN

Description

Remote CAAbout SCANSCAN 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 and Texas. 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 , , or follow us on LinkedIn, Facebook, and Twitter.

The JobThe purpose of the Disease Management Nurse is to collaboratively assess, plan, implement, coordinate, monitor, and evaluate the member's health and psychosocial needs.

Disease Management serves a way to prevent further complications of a chronic condition and minimize potential exacerbations by coaching across the continuum of care.

You WillThe Disease Management Nurse would function in the following waysAssess members to identify medical, physical, and psychosocial needs in order to prevent utilization and support member's overall goals of care.

Ensure and evaluate clinical appropriateness of care plan by incorporating assessment findings against evidence-based guidelines, clinical reasoning, clinical practice guidelines and/or best practices in the community.

Provide education and coaching surrounding disease management by identifying new and preventable exacerbations or worsening chronic conditionsCreate interventions and overall plan of care for disease management pods.

Including direction of the Community Health Worker's field-based interventions.

Enhance department and organization activities by identifying opportunities for improvement to existing processesParticipate in activities to support professional growth through education opportunities, reading professional publications, maintain professional networks, and participating in professional organizations.

Comply with all regulatory and quality agency standards including:

Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC), Department of Health Services (DHS), and accreditation bodies' standards such as the National Commission of Quality Assurance (NCQA) as it relates to care management activities.

Actively support the achievement of SCAN's Vision and Goals.
Other duties as assigned.
Your QualificationsCA RN License required, BSN preferredCCM Certification preferredBILINGUAL

• Must be bilingual in English/Spanish.

(Test will be administered to assess proficiency.3-5 years of related experience1-2 Years of Disease Management ExperienceCoaching, Motivational Interviewing, ability to build a strong rapportWhat's in it for you?Base salary range: $80,300.00to $128,500.00 per yearAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Ten paid holidays per year, plus 1 additional floating holidayExcellent 401(k) Retirement Saving Plan with employer match and contributionRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every dayWe're always looking for talented people to join our team Qualified applicants are encouraged to apply nowAt 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-CS2#LI-RemoteEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe 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 c)