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

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.

Remote role - CA RN Required - Bilingual Spanish 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.

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