
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.
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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.
• Supervise, coordinate, and support implementation of Social and Community Services Programs • Build and manage a high-performing team • Plan, assign, schedule, and review team work while adhering to quality standards • Hire, train, develop, conduct performance reviews, and administer corrective action when applicable • Set professional goals and address barriers to members’ care • Develop processes and workflows that improve member and team-member experience • Support smooth transitions of care and member wellbeing • Educate, coach, and support the SCS team in partnership with hospitals and providers • Discuss complex cases, assist with escalated member needs, and recommend further action • Develop agendas and lead monthly team meetings • Track strategic goals, outcomes, KPI data, productivity, and HEDIS compliance contributions • Communicate field intelligence to the SCS Manager • Resolve service issues and represent Community Health and IEHP leadership • Liaise with SCS teams, provider offices, and community-based organizations • Nurture relationships with healthcare providers, community organizations, and stakeholder partners • Work with providers, community organizations, and leaders to improve quality metrics and PHM Bold Goals 50x2025 • Attend and represent the SCS department at IEHP meetings and external events • Coordinate special projects with the SCS Manager and community partners • Share best practices, strengthen education and outreach, and promote care connections and disease prevention • Conduct chart audits, quality assurance checks, coaching, clinical support, and shadowing • Assist with closing complex and escalated member cases • Facilitate regular case conferences • Identify performance issues, care gaps, and operational efficiency opportunities • Train team members on IEHP policies, regulations, procedures, workflows, and electronic medical management systems such as MedHok • Monitor continuous quality improvement involving healthcare access, primary care, prevention, social determinants of health, and HEDIS gaps • Implement the LEAN model for program standards, processes, and training • Act on behalf of the Manager when needed • Attend meetings, provide training, and perform next-level representation as required
• At least three (3) years of experience in supervision/management, managed care/IPA/clinic setting, or delivering presentations/trainings to varied audiences • Experience with State Health Programs (Medi-Cal/Medicare), case coordination, community health work/Promotora programs, community outreach, behavioral health/substance use disorder programs, case management, or acute care • Experience leading a team and operations with accountability for outcomes • Master’s degree in Social Work from an accredited institution required • Active, unrestricted, and unencumbered LCSW license issued by the California Board of Behavioral Sciences required • Knowledge of Medicare, Medi-Cal, HEDIS, MCAS, DHCS, and NCQA required • Knowledge of social determinants of health, community resources in San Bernardino/Riverside counties, healthcare services, CHW roles, and multicultural communities • Bilingual in one of IEHP threshold languages is highly desirable: English, Spanish, Chinese, or Vietnamese • Excellent verbal, communication, and interpersonal skills • Motivational interviewing or similar empathy-based communication skills • Computer skills including typing, data entry, email, Word, Excel, Outlook, and PowerPoint • Planning, organization, time management, critical thinking, analytical, problem-solving, and collaboration skills • Ability to organize and prioritize workload, work under pressure, work independently, and maintain attention to detail • Ability to engage team members by phone, in members’ homes, in the community, and other settings • Ability to develop relationships with community-based organizations and leaders • Must be able to lift 25 lbs. • 75% driving travel required in assigned Riverside and San Bernardino County territories • Must be willing and able to travel to members’ homes • Must be willing to work flexible schedules including evenings and weekends when needed
• 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 • Telecommuting/remote work location upon completing necessary steps and receiving HR approval
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