Care Manager, RN - Health Access, ECM, Palm Desert (Remote with field work)

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!

About the role

Reporting to Health Access Enhanced Care Management Department Leadership, this position is responsible for working effectively with the Health Access Enhanced Care Management (ECM) Care Coordination team, members and families, other professionals, and the designated healthcare care organization (HCO) medical team to provide high quality, effective care management to IEHP members.

Responsibilities

• Work effectively with the Health Access Enhanced Care Management (ECM) Care Coordination team, members and families, other professionals, and the designated healthcare care organization (HCO) medical team to provide high quality, effective care management to IEHP members.
• Focus on a person-centered model of care which takes into account the member’s medical, behavioral, and social needs.
• Ensure coordinated continuous care.
• Provide clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Enhanced Care Management program.
• Utilize clinical expertise to support and engage members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transition of care experience.

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 working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory.
• 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
• Adults, youth, and children who are at risk for avoidable hospital or ED care
• Adults, youth, and children with serious mental health and/or substance use disorder needs
• Adults living in the community and at risk for long-term care institutionalization
• Nursing facility residents transitioning to the community
• Children & youth enrolled in CCS or CCS Whole Child Model with additional needs beyond their CCS conditions
• Children & youth involved in child welfare (foster care)
• Adults & youth who are transitioning from incarceration
• Pregnant & postpartum individuals; birth equity population of focus
• Average 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.
• Certified Case Manager (CCM) preferred.

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.
• Strong knowledge and in-depth understanding of: Skill in evidenced 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.
• Highly skilled interpersonally, with excellent relationship skills.
• Highly skilled in interpersonal communication, including resolving conflict with co-workers.
• Skilled in informally and formally sharing expertise.
• Must have skills 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.