Social Worker, Care Management

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. This is a mostly remote role with work hours M-F 8am - 5pm Pacific Time The Job Support high risk members by providing person-centered interventions to support serious mental illness, substance use disorder, and behavioral barriers to care. Collaborate with the care team to assess, develop, and implement care plans while addressing health, behavior, and psychosocial needs through telephonic, virtual, or in-person visits. Focus on holistic support to enhance independence and prevent unnecessary healthcare events, including ER visits and hospital admissions. You Will Conduct comprehensive assessments to identify chronic conditions and psychosocial challengesaffecting independent living, prevent utilization and support member’s overall goals of care. Manage and provide targeted support for members with serious mental illness, substance usedisorder, and behavioral barriers to care, including those identified as high-risk, ensuringcomprehensive care and appropriate interventions. Ensure the clinical appropriateness of member-centered care plans by evaluating assessmentfindings against evidence-based guidelines, clinical reasoning, and best practices. Integrate clinicalinsights and community standards to develop comprehensive and effective care strategies. Provide education and coaching surrounding behavioral and mental health treatment, interventions,and pharmacological approaches. Work with members in the prevention of illness, promotion ofhealth, and management of member’s adjustment to chronic health problems. Strong collaboration with internal and external providers, specifically with BH/MH vendors andprograms. Serve as the key point of contact for complex behavioral health cases to assist with carecoordination and act as Subject Matter Expert (SME) Exhibit comprehensive member engagement and patient activation skills with the ability tocommunicate complex medical and behavioral health interventions cohesively with overall plan ofcare. Perform Enhanced Care Management (ECM) activities related to specific Populations of Focus (POF): Individuals Experiencing Homelessness, Individuals At Risk for Avoidable Hospital Or ED Utilization, Adults Living In the Community At Risk of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back to the Community. Actively participates in interdisciplinary planning and case conference meetings to ensure person centered care and to ensure member receives support following discharge from an inpatient orinstitutional setting. Build strong working relationships with the Medical Groups, vendors, andcommunity organizations. Utilizes department desktop procedures, workflows, job aids and training material. Identifies barriersto work processes and brings to the attention of the supervisor/manager. Actively Adheres to all quality, compliance, and regulatory standards. 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 Graduate or Advanced Degree required in Social Work. Licensed Clinical Social Worker preferred; CCM preferred. 3-5 years managed care, healthcare environment, or mental health case management. 2 + years working with seniors and working remotely strongly preferred. Technical expertise - Advanced analytical skills Problem Solving - Basic problem-solving skills Communication - Good communication and interpersonal skills Bilingual Spanish/English strongly preferred. A test will be administered to assess proficiency if applicable. Strong interpersonal skills, including excellent written and verbal communication skills. Strong organizational skills. Strong critical thinking skills. Ability to collaborate effectively with a multidisciplinary team. Ability to appropriately maintain confidentiality. Ability to communicate complex medical information with simplicity and kindness and build strongrapport. General understanding of NCQA standards, CMS and DHCS regulations Tuberculosis Screening Policy To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available. What’s in it for you? Base salary range: $38.61to$53.20 per hour Work Mode - Remote/occasional field 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! 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 Affidivive 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. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) #J-18808-Ljbffr SCAN Health Insurance