Care Manager, RN – Health Access, ECM

🕒 July 6

🏄 California – Remote

🏄 California – Remote

💵 $91.2k - $120.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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IEHP

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1995

🛡️ Insurance

💼 Consulting

📦 Logistics

💰 Grant on 2021-02

Insurance • Consulting • Logistics

IEHP is a health plan dedicated to serving low-income individuals and families in Riverside and San Bernardino counties. They offer a variety of programs including Medi-Cal, DualChoice, and Covered California, providing healthcare coverage for residents who may not otherwise have access to necessary medical services. With a focus on holistic health and community wellness, IEHP partners with local doctors and facilities to ensure comprehensive care for their members, supporting them with resources in mental health, fitness classes, and wellness education.

📋 Description

• Responsible for working effectively with the Health Access Enhanced Care Management (ECM) Care Coordination team, members and families, other professionals, and the designated healthcare care organization (HCO) medical team to provide high quality, effective care management to IEHP members. • Focus on a person-centered model of care which takes into account the member’s medical, behavioral, and social needs. • Provides high quality, effective care management to IEHP members ensuring coordinated continuous care. • Outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors. • Provide clinical expertise, clinical leadership, and clinical oversight within the Enhanced Care Management program. • Model behavioral health principles of relationship-based care, promote education and understanding of behavioral health and its importance in whole health.

🎯 Requirements

• Three (3) or more years of care management experience in a health care delivery setting required. • Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory • 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 • Associate’s degree in Nursing from an accredited institution required • Bachelor’s degree in Nursing from an accredited institution preferred • Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required • Certified Case Manager (CCM) preferred • Must have a 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 • Bilingual (English/ “Target Language”) preferred

🏖️ Benefits

• 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