Chronic Disease Management Nurse (RN-Remote CA, AZ, NV, TX, NM)

Remote role

CA RN Required

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 277,000 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 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 Will

The Disease Management Nurse would function in the following ways:

• Help identify and execute interventions and overall plan of care for care management and disease management; includes collaborating with interdisciplinary team members, including social workers, community health workers, care coordinators, and pharmacists.
• 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.
• Promotes member activation and engagement to ensure optimal self-management skills and health outcomes.
• Provide education and coaching surrounding disease management by identifying new and preventable exacerbations or worsening chronic conditions
• Create 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 processes
• Participate 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, mission, and goals; Supports SCAN-wide initiatives, such as those related to member education, quality of care, and community engagement.
• Other duties as assigned

Your Qualifications

Current & Active CA RN License required.

BSN preferred.

BILINGUAL- Must be bilingual in English/Spanish. (Test will be administered to assess proficiency.)

1-2 Years of Disease Management Experience required.

At least 1 year of direct patient care nursing experience required.

3+ years clinical experience with geriatric population (Acute, Ambulatory care, SNF and/or LTC) preferred.

2 + years of case management experience in a medical group, IPA and/or HMO setting preferred.

Medicare/Medi-Cal experience in managed care environment preferred.

Basic knowledge of related NCQA standards, CMS and DHCS regulations.

CCM Certification preferred.

Coaching, Motivational Interviewing, ability to build a strong rapport.

What's in it for you?

• Base salary range: $38.61 to $61.78 per hour
• Remote Work Mode
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match & contribution
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!

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-CS2

#LI-Remote