Care Manager, RN – Health Access, ECM

🕒 il y a 1 jour

🏄 California – Distant

🏄 California – Remote

💵 $91 249 - $120 910 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 2%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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IEHP

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 1995

🛡️ Assurance

💼 Conseil

📦 Logistique

💰 Grant en 2021-02

Insurance • Consulting • Logistics

IEHP est un plan de santé dédié à servir les individus et familles à faible revenu dans les comtés de Riverside et San Bernardino. Ils offrent divers programmes incluant Medi-Cal, DualChoice et Covered California, fournissant une couverture médicale pour les résidents qui n'auraient autrement pas accès aux services médicaux nécessaires. Avec un accent sur la santé holistique et le bien-être communautaire, IEHP collabore avec des médecins et établissements locaux pour garantir des soins complets à leurs membres, les soutenant avec des ressources en santé mentale, des cours de fitness et une éducation au bien-être.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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