Care Manager, RN – Health Access, ECM

🕒 Outubro 1

🏄 California – Remoto

🏄 California – Remote

💵 $91.249 - $120.910 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 8%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 42 dias.
• As vagas desta empresa costumam ser preenchidas em 27 dias.

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IEHP

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1995

🛡️ Seguros

💼 Consultoria

📦 Logística

💰 Grant em 2021-02

Insurance • Consulting • Logistics

IEHP é um plano de saúde dedicado a atender indivíduos e famílias de baixa renda nos condados de Riverside e San Bernardino. Eles oferecem uma variedade de programas, incluindo Medi-Cal, DualChoice e Covered California, fornecendo cobertura de saúde para residentes que, de outra forma, não teriam acesso aos serviços médicos necessários. Com foco na saúde holística e no bem-estar comunitário, a IEHP faz parcerias com médicos e instalações locais para garantir um cuidado abrangente para seus membros, apoiando-os com recursos em saúde mental, aulas de ginástica e educação para o bem-estar.

Descrição

• Work effectively with the Health Access Enhanced Care Management Care Coordination team, members and families, other professionals, and designated healthcare care organization medical teams • Provide high-quality, effective care management to IEHP members • Apply a person-centered model accounting for members’ medical, behavioral, and social needs • Conduct outreach and engagement with members • Engage members in skilled therapeutic interactions to promote health behaviors • Provide behavioral health interventions within scope • Coordinate care and link members to resources • Work with professionals and community organizations to ensure quality of care • Facilitate seamless transitions of care and the right care at the right time • Provide clinical expertise, leadership, and oversight within the Enhanced Care Management program • Promote behavioral health principles of relationship-based care and education within IEHP and the community • Meet face to face with highest-risk/high-utilizer populations in the field, with member consent • Support and engage members to promote positive health behaviors • Collaborate with care-team members and external partners • Incorporate IEHP Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation

🎯 Requisitos

• Three (3) or more years of care management experience in a health care delivery setting required • Experience working successfully within a team • Experience developing and maintaining effective relationships with clients and coworkers • Experience in a Managed Care setting preferred • Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred • Population of Focus Experience: Adults, unaccompanied youth & children, and families experiencing homelessness • Experience with adults, youth, and children at risk for avoidable hospital or ED care • Experience with adults, youth, and children with serious mental health and/or substance use disorder needs • Experience with adults living in the community and at risk for long-term care institutionalization • Experience with adult nursing facility residents transitioning to the community • Experience with children and youth enrolled in CCS or CCS Whole Child Model with additional needs beyond their CCS conditions • Experience with children and youth involved in child welfare (foster care) • Experience with adults and youth transitioning from incarceration • Experience with pregnant and postpartum individuals; birth equity population of focus • Associate’s degree in Nursing from an accredited institution required • Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required • Bachelor’s degree in Nursing from an accredited institution preferred • Certified Case Manager (CCM) preferred • Valid California Driver’s license and valid automobile insurance • Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points • Strong knowledge and in-depth understanding of skill in evidence-based communication such as Motivational Interviewing, or similar empathy-based communication strategies • Understanding of and sensitivity to multi-cultural community • Self-management philosophies and practices, especially as they relate to chronic medical conditions • Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both • Bilingual (English/“Target Language”) preferred • Highly skilled interpersonally, with excellent relationship skills • Highly skilled in interpersonal communication, including resolving conflict with co-workers • Skillful in informally and formally sharing expertise • Ability to tolerate, manage, and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices

🏖️ Benefícios

• Competitive salary • State of the art fitness center on-site • Medical Insurance with Dental and Vision • Life, short-term, and long-term disability options • Career advancement opportunities and professional development • Wellness programs that promote a healthy work-life balance • Flexible Spending Account – Health Care/Childcare • CalPERS retirement • 457(b) option with a contribution match • Paid life insurance for employees • Pet care insurance

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