Inland Empire Health Plans
Care Manager, RN - ECM, Riverside 3 (Remote with field work)
Inland Empire Health Plans, California, Missouri, United States, 65018
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Under the general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced Care Management team (ECM) to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to Members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of the Enhanced Care Management Team (ECM), Members and families, and other professionals, in addition to working collaboratively with the designated health care organization (HCO) medical team. This position, like all positions within IEHP, is expected to model whole health principles of relationship-based care, as well engage in promoting education and understanding of physical health and healthy behaviors to those within IEHP and in the community.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
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
Education & Requirements
Three (3) or more years of care management experience in a health care delivery setting required
Experience in a Health Care Organization or experience in 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
Key Qualifications
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
Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies
Understanding of and sensitivity to multi-cultural community
Deep understanding and knowledge of 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/Spanish) preferred. Highly skilled interpersonally, with excellent relationship skills
Highly skilled in interpersonal communication, including resolving conflict with co-workers
Able to sufficiently engage Members and Providers on the phone, including developing effective relationships that are phone-based. Must be able to work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team
Minimal physical activity; may include standing and repetitive motion
Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership
Start your journey towards a thriving future with IEHP and apply TODAY! #J-18808-Ljbffr
Under the general supervision of the Enhanced Care Management Department Leadership this position is responsible for working effectively with the Enhanced Care Management team (ECM) to provide high quality, effective care management to IEHP members. Care management is broadly defined, and can include outreach and engagement to Members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively with members of the Enhanced Care Management Team (ECM), Members and families, and other professionals, in addition to working collaboratively with the designated health care organization (HCO) medical team. This position, like all positions within IEHP, is expected to model whole health principles of relationship-based care, as well engage in promoting education and understanding of physical health and healthy behaviors to those within IEHP and in the community.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
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
Education & Requirements
Three (3) or more years of care management experience in a health care delivery setting required
Experience in a Health Care Organization or experience in 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
Key Qualifications
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
Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies
Understanding of and sensitivity to multi-cultural community
Deep understanding and knowledge of 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/Spanish) preferred. Highly skilled interpersonally, with excellent relationship skills
Highly skilled in interpersonal communication, including resolving conflict with co-workers
Able to sufficiently engage Members and Providers on the phone, including developing effective relationships that are phone-based. Must be able to work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team
Minimal physical activity; may include standing and repetitive motion
Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership
Start your journey towards a thriving future with IEHP and apply TODAY! #J-18808-Ljbffr