LVN Care Manager — Hybrid/Remote Care Coordination

Inland Empire Health Plan; California (MO); Hybrid; USD 64,000 - 83,000; Full time

Job summary

Inland Empire Health Plan (IEHP) is seeking a Care Manager, LVN for a short-term assignment in a hybrid role serving IEHP members across the network. You will work with the multidisciplinary care team to coordinate care, educate members, and support ICP development and implementation.

The position requires an active CA LVN license and several years in care management within an HMO or similar setting. Telecommute options are available with periodic on-site meetings at Rancho Cucamonga, CA, to

Qualifications

• Three (3) or more years of care management experience in a health care delivery setting required.
• Experience in an HMO or Managed Care setting preferred; at least 1 year clinical experience in acute care, SNF, home health, or clinic setting preferred.
• High school diploma or GED required; Associate’s degree preferred; LVN license required in California.
• California Driver’s License preferred.

Responsibilities

• Serve as a resource for IEHP members and providers for care management and care coordination.
• Screen members for appropriate care management needs and document findings using approved tools.
• Develop and modify the Individualized Care Plan (ICP) with the care team; educate members per plan and materials.
• Assist with access, referrals, and authorizations; advocate for members with PCPs, specialists, and ancillary services.
• Model ethical behavior and foster collaboration with providers and community colleagues.
• Engage with members using Motivational Interviewing to promote joint decision making and health outcomes.
• Participate in quality improvement initiatives and address HEDIS gaps.

Skills

Care management

HMO/Managed Care understanding

Communication skills

Data interpretation

Confidentiality

Detail-oriented

Education

High school diploma or GED

Associate’s degree preferred

LVN license (CA) active

California Driver’s License preferred

Tools

MS Office Suite

Job description

Inland Empire Health Plan (IEHP) is seeking a Care Manager, LVN for a short-term assignment in a hybrid role serving IEHP members across the network. You will work with the multidisciplinary care team to coordinate care, educate members, and support ICP development and implementation.

The position requires an active CA LVN license and several years in care management within an HMO or similar setting. Telecommute options are available with periodic on-site meetings at Rancho Cucamonga, CA, to