Bilingual Spanish Community Health Worker (San Bernardino, CA)

SCAN Health Plan • San Bernardino, CA

11d • Remote

About The Position

The Bilingual Spanish Community Health Worker helps frail seniors age in place, manage their health, navigate the health care system, and live independently by providing person-centered care in accordance with Enhanced Care Management (ECM) requirements. The role works directly with members by phone and in person to implement care plans, advocate for members, and provide member-centered interventions. The position works remotely and in the field about 75% of the time in the San Bernardino area, including Colton, Rialto, and surrounding areas.

The worker collaborates with the care team, members, families, and community organizations to address medical and social needs. The role performs assessments, care coordination, health coaching, navigation, advocacy, referrals, and follow-up, including support for ECM Populations of Focus. Work is performed under direct supervision; basic issues are handled independently and more complex matters are referred to higher-level staff. The position requires timely and accurate documentation and adherence to applicable procedures and policies.

Requirements

• High school diploma or equivalent experience.
• Bilingual proficiency in English and Spanish; a proficiency test may be administered.
• At least 1 year of community engagement experience.
• Travel 50% or more of the time in the assigned area; must have a valid driver’s license, automobile insurance, and reliable transportation.
• Basic technical, problem-solving, organizational, and critical-thinking skills.
• Good communication and interpersonal skills, including strong written and verbal communication.
• Ability to collaborate effectively within a multidisciplinary team and appropriately maintain confidentiality.
• General understanding of NCQA standards and CMS and DHCS regulations.
• Basic knowledge of medical terminology and abbreviations.
• Basic understanding of local community resources for seniors.
• Must provide proof of tuberculosis screening upon hire or proof of a negative screening within the past year; accommodations may be considered through an interactive process.
• Background check required.

Nice To Haves

• Community Health Worker Certificate strongly preferred.
• Experience with managed care, a health care environment, lived experience, or case management strongly preferred.
• At least 1 year of experience working with seniors, conducting home visits, and working remotely strongly preferred.

Responsibilities

• Collaborate in general assessments to identify chronic conditions and psychosocial challenges affecting members’ ability to live independently.
• Assess Medi-Cal/Medicare dual-eligible members referred to Complex Care Management for Long-Term Services and Supports 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 and telephone visits to address care barriers, encourage engagement in primary and preventive care, and support individualized care-plan implementation.
• Provide care coordination and empower members and families to manage chronic conditions through coaching, education, health care navigation, advocacy, appointment accompaniment, and referrals to community, county, and state resources.
• Perform Enhanced Care Management activities for individuals experiencing homelessness; individuals at risk for avoidable hospital or emergency department utilization; adults living in the community at risk of long-term care institutionalization; and adult nursing facility residents transitioning back to the community.
• Implement personalized care plans that address high-risk members’ medical and social needs and include realistic health goals aligned with members’ wishes.
• Participate in interdisciplinary planning and case conference meetings to support person-centered care and members following discharge from inpatient or institutional settings.
• Maintain timely and accurate documentation of care plans, service plans, and progress notes in accordance with established timeframes and SNP policies.
• Build relationships with community organizations, including senior and wellness centers, housing outreach events, shelters, landlords, and legal aid providers.
• Use department desktop procedures, workflows, job aids, and training materials; identify process barriers and bring them to a supervisor or manager’s attention.
• Support the achievement of SCAN’s vision and goals, remain curious about AI and its potential to transform operations and member service, and perform other duties as assigned.

Benefits

• Annual employee bonus program
• Robust wellness program
• Generous paid time off (PTO)
• Eleven paid holidays per year, plus one floating holiday and one birthday holiday
• 401(k) retirement savings plan with employer match and contribution
• Employee recognition program
• Tuition reimbursement
• Equal pay, employee resource groups, inclusive benefits, and other inclusion programs

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED