Care Manager, RN – Health Access, ECM

🔥 12 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $91.2k - $120.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 2%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• 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

🎯 Requirements

• 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

🏖️ 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