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

Position Overview

SCAN Group is a not-for-profit organization dedicated to tackling critical issues facing older adults. With over 40 years of experience and serving more than 277,000 members, SCAN is a leader in senior healthcare. In thisremote role, you will serve as a Disease Management Nurse responsible for assessing, planning, implementing, coordinating, monitoring, and evaluating members’ health and psychosocial needs to prevent complications and support optimal care.

Key Responsibilities

• Identify and execute interventions and overall care plans in collaboration with an interdisciplinary team including social workers, community health workers, care coordinators, and pharmacists.
• Evaluate the clinical appropriateness of care plans by integrating assessment findings with evidence-based guidelines and best practices.
• Promote member activation and engagement to ensure optimal self-management skills and health outcomes.
• Provide education and coaching on disease management by identifying new or worsening chronic conditions.
• Create and direct interventions for disease management pods, including guiding field-based initiatives by Community Health Workers.
• Identify opportunities to improve existing processes and enhance departmental activities.
• Participate in continuous professional development through education, professional publications, and networking.
• Comply with regulatory and quality standards including those from CMS, DMHC, DHS, and NCQA.
• Support SCAN’s vision, mission, and organizational initiatives related to member education, quality care, and community engagement.
• Perform other related duties as assigned.

Required Qualifications

• Current & Active CA RN License required
• BILINGUAL:Must be proficient in English/Spanish (proficiency test will be administered)
• 1-2 years of Disease Management experience required
• At least 1 year of direct patient care nursing experience
• Basic knowledge of NCQA standards, CMS, and DHCS regulations

Preferred Qualifications

• BSN degree preferred
• 3+ years of clinical experience with the geriatric population (Acute, Ambulatory care, SNF and/or LTC)
• 2+ years of case management experience in a medical group, IPA, and/or HMO setting
• Experience with Medicare/Medi-Cal in a managed care environment
• CCM Certification preferred
• Strong skills in Coaching and Motivational Interviewing with the ability to build effective rapport

Benefits & Perks

• Base salary range:$38.61 to $61.78 per hour
• Remote Work Mode
• An annual employee bonus program
• A robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus an additional floating holiday and birthday holiday
• An excellent 401(k) Retirement Saving Plan with employer match & contribution
• A robust employee recognition program
• Tuition reimbursement
• An opportunity to join a dedicated team making a significant difference in the community every day