Geriatric Health Specialist - RN (Spanish speaking required)

SCAN Health Plan - Long Beach, CA

Posted 800 days ago
  • Experience
    Mid-Senior level
  • Job function
    Health Care Provider
  • Employment type
    Full-time
  • Industry
    Hospital & Health Care
  • Employer job ID
    11-548
  • Job ID
    2899426

This is a preview of the Geriatric Health Specialist - RN (Spanish speaking required) job at SCAN Health Plan. To view the full job listing, join LinkedIn - its free!Join LinkedIn - its free!

About this job

Job description

JOB PURPOSE:
To conduct telephonic care management assessments of members, classify members as needing either basic or complex care management, developing appropriate care plans and advocating on behalf of the members as needed.

ESSENTIAL JOB RESULTS:
Conduct telephonic assessments and reassessments at designated intervals to identify member‘s medical, physical and psychosocial needs, develop written care plans and act on those care plans in a timely manner.

Create and maintain clinical documentation of each interaction with the member and/or on the member‘s behalf. Facilitate care coordination across the care continuum: home, hospital, home health, or nursing facility. Identify necessary community resources and make referrals as appropriate.

Interpret plan benefits by clarifying and verifying the organization‘s policies and procedures and staying abreast of coverage issues for the Medicare and MediCal programs. Participate in an Inter Disciplinary team by presenting member scenarios to the team for discussion, at least annually.

Coordinate purchase of service, by identifying appropriate vendors, seeking competitive pricing bids and allocating resources in a cost-effective manner.

Maintains the member‘s right to privacy and protects SCAN® operations by keeping information confidential.

Desired Skills and Experience

PREFERRED QUALIFICATIONS:
Current CA RN from an accredited school of nursing required.

Bilingual Spanish skills required.

Bachelors or advanced degree preferred, with a minimum of two to three years experience in medical or social case management with a geriatric population.

Case management certification highly desirable.

Good oral and written communication skills, with the ability to speak clearly and conduct telephonic assessments.

Computer literacy required with competency in MS Word, Excel and Access.

Demonstrate ability to work with minimal supervision.

CONDITIONS OF WORK:
Professional work environment.

About this company

SCAN Health Plan

SCAN will become one of the leading geriatric-focused health management enterprises in each of the markets in which we operate. Our mission is to continue to find innovative ways to enhance seniors' ability to manage their health and to continue to control where and how they live. We will achieve our mission by developing partnerships that allow us to deliver the right health care, in the right setting, and at the right cost while maximizing the seniors' ability to remain independent.

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This is a preview of the Geriatric Health Specialist - RN (Spanish speaking required) job at SCAN Health Plan. To view the full job listing, join LinkedIn - its free!Join LinkedIn - its free!

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