RN Triage- Embrace CareConnect (Remote)

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 285,000 members in California, Arizona, Nevada, and Texas. 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

Remote, CA and AZ RN license required Embrace CareConnect is a dedicated team focused on delivering high-quality, senior-centered care through seamless coordination and real-time clinical support. As a CareConnect RN, you will be a frontline clinical resource for Embrace members, providing telephonic and digital triage to ensure timely interventions and effective care coordination. In this remote role, you will assess and respond to clinical concerns from members, caregivers, senior living communities, and POAs/loved ones through phone calls, secure messages, EHR communications, and email. Collaborating with CareConnect Coordinators (CCCs) and Patient Care Coordinators (PCCs), you will work closely with Advanced Practice Clinicians (APCs) and Primary Care Physicians (PCPs) to facilitate timely, appropriate care with a focus on one-touch resolution whenever possible. This role requires agility, strong clinical judgment, critical thinking, and problem-solving skills to navigate complex care situations and ensure members receive the right care at the right time.

As the CareConnect RN, this individual ensures seamless day-to-day operations and strategic alignment with SCAN’s initiatives. Their key responsibilities include: Triage & Clinical Assessment: Handle inbound calls, secure messages, and emails from members, caregivers, and senior living communities, determining the most appropriate next steps for care. Escalation & Care Coordination: Use SBAR methodology to escalate urgent concerns and collaborate with APCs and PCPs for timely clinical interventions. Hospital & SNF Coordination: Work closely with the Embrace Care Management team to coordinate ER visits, hospital admissions, and skilled nursing facility (SNF) transitions when necessary. Collaboration & Member Support: Partner with CCCs and PCCs to ensure seamless member support, proactive follow-ups, and care navigation. Patient & Caregiver Education: Provide guidance on chronic disease management, medication adherence, and preventive care strategies to members and caregivers. Documentation & Communication: Accurately document clinical interactions in the EMR system and coordinate care via HIPAA-compliant messaging tools. Quality Improvement & Best Practices: Contribute to developing clinical protocols, triage workflows, and escalation processes to enhance care delivery. Proactive Risk Management: Identify high-risk members and collaborate with the interdisciplinary care team to implement proactive care strategies. All other duties as assigned.