Overview

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 direction of the ECM Director, the Manager, ECM Transitional Care is responsible for day-to-day management of clinical and non-clinical staff to assure that compliance and adherence to regulatory requirements are completed in a timely and consistent manner using nationally recognized criteria, population health management guidelines, State, and other regulatory guidance. In this capacity, the Manager, ECM Transitional Care will work with hospitals, IPA, ECM Providers, and other departments to ensure coordinated transitional care and continuous cost-effective quality health care for IEHP Members. Will be accountable for the implementation of the ECM benefit that provides timely transition of care, communication of a single point of contact, and authorization of services to address their chronic and social determinants of health as they progress towards their transition. Further, this position interacts with internal and external customers, and Members to facilitate improved care coordination, navigation, referral authorizations services, concurrent review, and discharge planning services.

Additional Benefits

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.

• CalPERS retirement
• 457(b) option with a contribution match
• Generous paid time off- vacation, holidays, sick
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Paid life insurance for employees with additional options
• Short-term, and long-term disability options
• Pet care insurance
• Flexible Spending Account – Health Care/Childcare
• Wellness programs that promote a healthy work-life balance
• Career advancement opportunities and professional development
• Competitive salary with annual merit increase
• Team bonus opportunities

Qualifications

Education & Experience

• Five (5) or more years of health care experience of which two (2) or more are in supervisory. Experience in care management is required.
• Bachelor’s degree from an accredited institution required.
• Master’s degree in MPH, MA, MSN, MBA, or other related field from an accredited institution preferred.
• Possession of an active, unrestricted, unencumbered Registered Nurse (RN) license issued by the California BRN required.

Key Qualifications

• Working knowledge of managed care including nationally recognized criteria, UM processes, care management, CalAim, PHM, DHCS, DMHC, CMS, NCQA regulations.
• Aware of the community resources available in Inland Empire.
• Excellent writing and communication skills. Strong analytical skills and problem-solving skills.
• Demonstrates excellent interpersonal and organizational skills.
• Change agent, time management, ability to develop and implement programs using LEAN tools, follow through, strong emotional quotient, demonstrates servant leadership, and prioritize competing priorities.

Start your journey towards a thriving future with IEHP and apply TODAY!

Pay Range