RN Triage- Embrace CareConnect (Remote)

Remote, CA and AZ RN license required

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 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 visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.

The Job

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.

You Will

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.

Your Qualifications

• Bachelor's Degree in Nursing
• Active and unencumbered RN license in CA.
• Active and unencumbered RN license in AZ (or multi-state licensure which includes AZ).
• Graduate or Advanced Degree or equivalent experience is preferred.
• 3+ years of clinical nursing experience, preferably in emergency medicine, geriatric home health/hospice, and/or telephonic triage.
• Experience in managed care, Medicare Advantage, or I-SNP/IE-SNP programs is highly desirable.
• Strong clinical assessment and critical-thinking skills with the ability to make rapid decisions in a telephonic setting.
• Proficiency with EMR documentation and care coordination workflows.
• Familiarity with medical coding, claims processes, and care gap analysis is a plus.
• Ability to thrive in a fast-paced, startup-like environment, adapting to evolving workflows and technology.
• Excellent communication and interpersonal skills for engaging with members, caregivers, and clinical teams.
• Strong problem-solving abilities and a proactive approach to care management.
• Strong skills in remote team environment.
• Proficient in MS Office.

What's in it for you?

• Base salary range: $44.42 to $71.05 per hour
• Work Mode: Remote
• An annual employee bonus program
• Robust Wellness Program
• Generous paid-time-off (PTO)
• Eleven paid holidays per year, plus 1 additional floating 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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