Sr Manager, RN Care Management

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 300,000 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 45 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 senior manager of care management is an innovator who identifies and overcomes barriers on behalf of members and teams. Oversees care management functions across multiple teams. This role functions in conjunction with the director of care management to set strategic direction for the care team and oversee the work of multiple managers and defines priorities for their daily work. The senior manager of care management ensures the ways of working are implemented and at the forefront of care delivery. Responsible for team compliance with all regulatory requirements, clinical standards and internal policies and procedures. Responsible for reviewing and updating assigned policies and procedures and desktop procedures.

You Will

Directly manages multiple managers of care management and/or care management staff

Oversees case management and care management services for complex or high-cost cases across multiple teams.

Create processes for care managers that reduce time spent on administrative tasks and maximize time spent on member care

Ensures continuity of care with external organizations through building workflows to streamline processes and enhance continuity of care

Develops and administers care management policies and procedures with the goal of balancing quality patient outcomes with cost-effectiveness

Measures effectiveness of care management, quality, or utilization management initiatives by tracking admission/readmission rates, medical resource usage, or other performance metrics

Reviews team activities and operations for compliance with established policies and standards

Identifies barriers, proposes solutions, and initiates communication with cross functional leaders to drive change efforts toward improved member outcomes and efficient processes for teams

Meets weekly with direct reports and keep the Director of Care Management informed about team activities, successes, barriers, and opportunities

We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.

Actively support the achievement of SCAN's Vision and Goals.

Other duties as assigned.

Your Qualifications

Bachelor's Degree required.

Registered Nurse (RN) license current & active required.

Graduate or Advanced Degree or equivalent experience preferred.

5+ years of management experience preferred.

Care Management Leadership preferred.

Leadership- Skilled to develops others

Problem Solving- Make critical decisions, often involving high-level risk assessment and the ability to adapt to changing circumstances

Strategic Mindset- Formulates strategy and maps steps to achieve strategic goals

Ability to work as part of a team. Management skills. Oral and written communication skills. Ability to build collaborative relationships. Detail oriented. Ability to meet deadlines. Attentiveness.

What's in it for you?

• Base salary range: $147,900 to $214,030 per year
• Work Mode- Mostly Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
• Excellent 401(k) Retirement Saving Plan with employer match and 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.

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