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SCAN

Not-for-profit Medicare Advantage plan for seniors

Advanced Practice Clinician - Integrated Care Delivery

Advanced Practice ProvidersConfirmed live in the last 24 hours
Full-timeSan Bernardino, CA, USA

About the Job

Requirements

  • A master's degree in a nurse practitioner program or a master's degree from an accredited physician assistant program is required; education in adult or geriatric medical care is preferred.
  • A comparable combination of education, experience, and/or training may be considered equivalent.
  • A current California Nurse Practitioner license or California Physician Assistant certification (PA-C) in good standing is required.
  • Knowledge of treatment for complex chronic diseases, including dementia, diabetes, heart failure, and chronic obstructive pulmonary disease, is required.
  • Ability to identify health care needs and appropriately refer and coordinate with other resources and programs is required.
  • Knowledge of Hierarchical Condition Categories and International Classification of Diseases, 10th Revision coding and documentation is required.
  • Knowledge of wound care and management is required.
  • Knowledge of Centers for Medicare & Medicaid Services guidelines and Medicare Advantage managed care is required.
  • Ability to initiate goals-of-care and end-of-life discussions is required.
  • Strong interpersonal skills and a change-agent mindset are needed to build relationships with the healthcare team and patients.
  • Knowledge of and ability to maintain Health Insurance Portability and Accountability Act requirements is required.
  • Ability to adapt, solve problems, and learn basic technology skills, including Microsoft Word, Excel, PowerPoint, Outlook, and electronic medical records, is required.
  • Ability to stoop, kneel, crouch, bend, reach, lift, pull, push, and carry up to 10 pounds regularly and up to 50 pounds occasionally is required.
  • A valid driver's license, automobile insurance, and reliable transportation are required.
  • A tuberculosis screening or proof of a negative screening within the last year is required upon hire.

Responsibilities

  • Provide and coordinate primary care for an assigned panel of members in their residences, especially senior living communities and skilled nursing facilities.
  • Conduct physical and wellness examinations and assessments, occasional urgent medical visits, telephonic triage, vaccinations, diagnostic testing, goals-of-care conversations, and chronic disease management.
  • Identify patient healthcare needs and develop comprehensive care plans for patients, families, and living-community staff.
  • Collaborate with the case management team to ensure members have timely access to necessary services.
  • Independently manage the visitation schedule according to practice protocols and adjust it based on member needs and acuity.
  • Engage with Primary Care Physicians and other healthcare professionals on disease prevention, health promotion, and chronic disease management, with Primary Care Physician oversight and guidance.
  • Connect members with specialists, hospitals, ancillary care providers, and community-based organizations to ensure continuity of care and promote shared decision-making.
  • Monitor and address clinical quality gaps in partnership with other care providers.
  • Document member visits and interactions according to established practice protocols.
  • Serve as an ongoing direct resource for members, families, communities, and support staff.
  • Participate in Integrated Care Sales events to build member awareness and educate communities.
  • Initiate and complete virtual health visits as needed to improve triage accuracy and reduce drive time.
  • Participate in the after-hours and weekend on-call program.
  • Maintain professional and technical knowledge through educational workshops and professional publications.
  • Contribute to quality healthcare goals by closing care gaps, attending high-risk group discussions, and optimizing clinical workflows and protocols.
  • Support SCAN's vision and goals and perform other duties as assigned.

Desired Qualifications

  • Education in adult or geriatric medical care is preferred.
  • Wound Care Certificate and Palliative Care Certificate are preferred.
  • Multilingual or multicultural experience is a plus.

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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