Care Manager, LVN

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🔥 9 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $63.9k - $83.1k / 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

• Serve as a resource for IEHP members and providers for care management and care coordination. • Screen members for appropriate care management needs, documenting findings and communicating with the rest of the care team. • Use approved screening tools which contribute to the assessment (i.e., Health Risk Assessment or other designed tools). • Contribute to the development and modification of the Individualized Care Plan (ICP). • Review ICP recommendations with RN Care Manager Team Member and other Interdisciplinary Care Team (ICT) members as appropriate. • Educate members according to approved plan and material content. • Communicate unexpected results with RN Care Manager Team Member and other ICT members as appropriate. • Assist members with immediate needs with regard to access, referrals and authorizations. • Act as a member advocate at all times. • Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services. • Model the highest ethical behavior in relationships with co-workers, supervisors, members, providers, and colleagues in the community. • Build and maintain a positive working relationship with providers, community agencies, and internal colleagues through all modes of communication. • Promote a collaborative and effective working environment within the team by engaging in evidenced-based communication strategies. • Engage with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches. • Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects. • Perform any other duties as required to ensure Health Plan operations and department business needs are successful.

🎯 Requirements

• Three (3) or more years of care management experience in a health care delivery setting required • Current IEHP Team Members who have worked at least two (2) years in the Care Management department and are currently successful in their work performance during the last two (2) years may be considered for this position in lieu of the minimum three (3) year experience requirement • Experience in an HMO or experience in Managed Care setting preferred. • Minimum one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred • High school diploma or GED required • Associate’s degree from an accredited institution preferred • Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required • Valid California Driver’s License preferred

🏖️ Benefits

• 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