Inland Empire Health Plan
Care Manager, RN -Hybrid
Inland Empire Health Plan, Rancho Cucamonga, California, United States, 91739
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!
Reporting to Health Services department leadership, this position is responsible for working effectively 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 Integrated Care Team, members and families, and other professionals, in addition to working collaboratively with the designated health care organization’s (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 IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
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
Minimum two (2) years clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting required
Two (2) or more years of care management experience in a health care delivery setting preferred
Experience in a Managed Care (HMO, IPA) or in acute facility (i.e. hospital) care management 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
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
Must have knowledge of whole health and integrated principles and practices
Bilingual (English/Spanish) preferred
Highly skilled in interpersonal communication, including conflict resolution
Effective written and oral communication skills, as well as reasoning and problem‑solving skills
Skillful in informally and formally sharing expertise
Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices
Proficient in the use of computer software including, but not limited to, Microsoft Word, Excel, PowerPoint
Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred
Proven ability to:
Sufficiently engage members and providers on the phone as well as in person
Work as a member of a team, executing job duties and making skillful decisions within one’s scope
Establish and maintain a constructive relationship with diverse members, leadership, Team Members, external partners, and vendors
Prioritize multiple tasks as well as identify and resolve problems
Have effective time management and the ability to work in a fast‑paced environment
Be extremely organized with attention to detail and accuracy of work product
Have timely turnaround of assignments expected
To form cross‑functional and interdepartmental relationship
Work Model Location: Hybrid work schedule, Mon – Fri - remote, Tues – Thurs onsite in Rancho Cucamonga, CA.
Start your journey towards a thriving future with IEHP and apply TODAY!
#J-18808-Ljbffr
Reporting to Health Services department leadership, this position is responsible for working effectively 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 Integrated Care Team, members and families, and other professionals, in addition to working collaboratively with the designated health care organization’s (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 IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
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
Minimum two (2) years clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting required
Two (2) or more years of care management experience in a health care delivery setting preferred
Experience in a Managed Care (HMO, IPA) or in acute facility (i.e. hospital) care management 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
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
Must have knowledge of whole health and integrated principles and practices
Bilingual (English/Spanish) preferred
Highly skilled in interpersonal communication, including conflict resolution
Effective written and oral communication skills, as well as reasoning and problem‑solving skills
Skillful in informally and formally sharing expertise
Must have the resiliency to tolerate and adapt to a moderate level of change and development around new models of care and care management practices
Proficient in the use of computer software including, but not limited to, Microsoft Word, Excel, PowerPoint
Demonstrated proficiency with all electronic medical management systems (e.g., Cisco, MHK/Care Prominence, MediTrac, SuperSearch and Web Portal) is preferred
Proven ability to:
Sufficiently engage members and providers on the phone as well as in person
Work as a member of a team, executing job duties and making skillful decisions within one’s scope
Establish and maintain a constructive relationship with diverse members, leadership, Team Members, external partners, and vendors
Prioritize multiple tasks as well as identify and resolve problems
Have effective time management and the ability to work in a fast‑paced environment
Be extremely organized with attention to detail and accuracy of work product
Have timely turnaround of assignments expected
To form cross‑functional and interdepartmental relationship
Work Model Location: Hybrid work schedule, Mon – Fri - remote, Tues – Thurs onsite in Rancho Cucamonga, CA.
Start your journey towards a thriving future with IEHP and apply TODAY!
#J-18808-Ljbffr