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SCAN

Not-for-profit Medicare Advantage plan for seniors

Bilingual Spanish Community Health Worker

Case Management & Advocacy +1Confirmed live in the last 24 hours
Full-timeGardena, CA, USA

About the Job

Requirements

  • A high school diploma or equivalent experience is required.
  • Bilingual English and Spanish proficiency is required and may be assessed by a test.
  • Travel 50% or more in the assigned area is required, along with a valid driver's license, automobile insurance, and reliable transportation.
  • At least 1 year of community engagement experience is required.
  • Basic technical skills for the functional area are required.
  • Basic problem-solving skills are required.
  • Good communication and interpersonal skills are required, including written and verbal communication.
  • Basic organizational skills are required.
  • Basic critical-thinking skills are required.
  • Ability to collaborate effectively within a multidisciplinary team is required.
  • Ability to maintain confidentiality appropriately is required.
  • General understanding of NCQA standards and CMS and DHCS regulations is required.
  • Basic knowledge of medical terminology and abbreviations is required.
  • Basic understanding of local community resources for seniors is required.
  • A tuberculosis screening is required upon hire, or proof of a negative screening within the last year.
  • A background check is required.

Responsibilities

  • Conduct general assessments to identify chronic conditions and psychosocial challenges affecting independent living; assess Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports and assist the Registered Nurse in determining Nursing Facility Level of Care.
  • Support member well-being through observation, positive communication, and motivational interviewing; conduct in-person or telephone visits to address care barriers, promote engagement in primary and preventive care, and support individualized care plan implementation.
  • Provide general care coordination and empower members and their families to manage chronic conditions through coaching, education, healthcare navigation, advocacy, accompaniment to appointments, and referrals to community, county, and state resources.
  • Perform Enhanced Care Management activities for the specified Populations of Focus: individuals experiencing homelessness; individuals at risk for avoidable hospital or emergency department utilization; adults living in the community at risk of long-term-care institutionalization; and adult nursing facility residents transitioning back to the community.
  • Implement personalized care plans tailored to high-risk members' medical and social needs, incorporating realistic health goals that support members' wishes.
  • Participate in interdisciplinary planning and case conference meetings to ensure person-centered care and support members following discharge from an inpatient or institutional setting.
  • Adhere to SNP policies and document care plans, service plans, and progress notes accurately and within established timeframes.
  • Network and build relationships with community organizations, including senior and wellness centers, housing outreach events, shelters, landlords, and legal aid providers.
  • Use department desktop procedures, workflows, job aids, and training materials; identify barriers to work processes and bring them to a supervisor or manager's attention.
  • Handle basic issues and problems under direct supervision and refer more complex issues to higher-level staff.
  • Support achievement of SCAN's vision and goals.
  • Perform other duties as assigned.

Desired Qualifications

  • A Community Health Worker Certificate is strongly preferred.
  • Experience with managed care, a healthcare environment, lived experience, or case management is strongly preferred.
  • At least 1 year of experience working with seniors, conducting home visits, and working remotely is strongly preferred.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

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