Care Mgmt Coordinator

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SCAN Health Insurance

Posted 3 months ago

Full Time

California, Missouri

Remote OK

Smart Summary

Responsibilities

Coordinate and manage care services for patients while ensuring documentation complies with ICD coding standards. Develop care plans, manage referrals, and provide guidance on coding guidelines to internal and external staff.

Qualifications

You have a High School Diploma or equivalent experience and 0-3+ years of related experience. You possess strong attention to detail, a solid work ethic, and knowledge of ICD coding principles, along with effective communication and basic problem-solving skills.

Must Have Skills for ATS

ICD coding

Email

Word

Excel

PowerPoint

Job Description

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.

The Job

The Care Management Coordinator - ICD is responsible for coordinating and managing care services for patients, ensuring high-quality, timely, and coordinated care, with documentation in compliance with International Classification of Diseases (ICD) coding standards. They work closely with healthcare providers in developing care plans, coordinating referrals, and ensuring patient progress. The role also involves reviewing medical records, identifying coding discrepancies, and providing education and guidance to internal and external staff on ICD coding guidelines. Strong attention to detail, work ethic, knowledge of ICD coding principles, and effective communication skills are essential for success in this role.

You Will

  • Ensures that member needs are addressed and that members are referred to the appropriate service provider(s)

  • Administers policies and procedures for verifying member identity, membership status, and entitlement to services

  • Maintains current and accurate membership databases and records

  • Suggests new service offerings or revisions to existing programs based on member feedback or in response to member needs or gaps in coverage

  • May participate in member retention or renewal efforts

  • Other duties as assigned.

  • Actively support the achievement of SCAN’s Vision and Goals.

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

Your Qualifications

  • High School Diploma or equivalent experience

  • 0-3+ years of related experience.

  • Performs work under minimal supervision. Handles complex issues and problems, and refers only the most complex issues to higher-level staff.

  • Possesses comprehensive knowledge of subject matter.

  • Provides leadership, coaching, and/or mentoring to a subordinate group. May act as a lead or first-level supervisor.

  • PC Skills including: Email, Word, Excel, PowerPoint

  • Technical expertise - Basic technical skills for functional area

  • Problem Solving - Basic problem-solving skills

  • Communication - Good communication and interpersonal skills

  • Oral and written communication skills

  • Interpersonal skills

  • Customer/client orientation

  • Customer service skills

  • Problem/Situation Analysis

What’s in it for you?

  • Base salary range: $23.51 to $34.03 per hour

  • Work Mode: Mostly Remote

  • Annual 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 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.

#LI-BB1

#LI-Hybrid

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)

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SCAN Health Insurance

About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years. Founded in Long Beach, CA in 1977 by a group of senior activists committed to improving access to the care and services they needed as they aged, SCAN is a recognized leader in senior care. As one of the nation’s largest not-for-profit Medicare Advantage plans, SCAN also provides a range of community services, including the innovative programs of Independence at Home and robust community education and community giving. The SCAN mission is not something that just hangs on the wall, it’s a commitment understood and embraced by every employee. We believe in supporting our employees so they, in turn, can support our members as well as seniors and caregivers in the communities we serve. That means providing training, tools and opportunities for growth—and rewarding jobs well done. Our employees enjoy: - A competitive compensation and benefits program - An annual employee bonus program - Generous paid-time-off (PTO) - Ten paid holidays per year - Excellent 403(b) Saving Plan, providing up to 4% match and vesting after three years - Casual attire . . . wear jeans every day!! - A work-life balance and much more! Want to learn more about SCAN? Visit us at scanhealthplan.com
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