Bilingual Spanish Community Health Worker

About the role

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.

Responsibilities

• Collaborate in conducting general assessments to identify chronic conditions and psychosocial challenges affecting independent living.
• Perform assessments for Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports (LTSS) and assist the Registered Nurse in determining Nursing Facility Level of Care.
• Support member well-being through observation, positive communication, and motivational interviewing.
• Conduct face-to-face or phone visits to address care barriers, ensure engagement in primary and preventative care, and support individualized care plan implementation.
• Provides general care coordination and empower members and their families in managing chronic conditions through coaching, education, healthcare navigation, advocacy, accompaniment to appointments and referrals to community, county, and state resources.
• 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.
• Implement personalized care plans tailored to the medical and social needs of high-risk members, incorporating realistic health goals supporting members inherent wishes.
• 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 or institutional setting.
• Demonstrates strong organizational, follow-through, and engagement skills to achieve positive member outcomes.
• Adheres to SNP policies and ensures timely, accurate documentation of care plans, service plans, and progress notes within established timeframes.
• Network and build relationships with community business organizations like senior and wellness centers, housing outreach events, shelters, landlords, legal aid providers, etc.
• Utilizes department desktop procedures, workflows, job aids and training material.
• Identifies barriers to work processes and brings to the attention of the supervisor/manager.

Qualifications

• High School Diploma or equivalent experience
• Community Health Worker Certificate strongly preferred
• BILINGUAL required in English/Spanish. (Test will be administered to assess proficiency if applicable.)
• Travel 50+% of the time in the assigned area- Must have a valid driver’s license, automobile insurance and reliable transportation
• 1+ years of Community Engagement Experience
• Experience with managed care, healthcare environment, lived experience or case management strongly preferred
• 1+ years working with seniors, conducting home visits, and working remotely strongly preferred
• Technical expertise - Basic technical skills for functional area
• Problem Solving - Basic problem-solving skills
• Communication - Good communication and interpersonal skills
• Basic interpersonal skills, including excellent written and verbal communication skills
• Basic organizational skills
• Basic critical thinking skills
• Ability to collaborate effectively within a multidisciplinary team
• Ability to appropriately maintain confidentiality
• General understanding of NCQA standards, CMS and DHCS regulations
• Basic knowledge of medical terminology and abbreviations
• Basic understanding of local community resources for seniors

Skills

• Strong organizational and follow-through skills
• Effective communication and interpersonal skills
• Ability to collaborate within a multidisciplinary team
• Confidentiality and data protection
• Understanding of NCQA standards, CMS and DHCS regulations
• Basic knowledge of medical terminology and abbreviations
• Understanding of local community resources for seniors

Benefits

• Annual employee bonus program
• Robust Wellness Program
• Gross 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
• Rigorous employee recognition program
• Tuition reimbursement
• Opportunity to become part of a team that makes a difference to our members and our community every day!

Pay

• Base salary range: $21.78 to $31.52 per hour

Schedule

• Remote/Hybrid