Care Manager, LVN

Overview

This position is a Short-term Assignment with IEHP.

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 direction of department leadership, the Care Manager, LVN is responsible for working directly with the IEHP members, IPA medical groups, providers, hospitals, community agencies, and other entities supporting member care to ensure coordinated care and serve as a resource person for internal and external entities. The Care Manager, LVN works closely with the multidisciplinary care team to support members during the care coordination and care management process.

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

• Serve as a resource for IEHP members and providers for care management and care coordination.
• Screen members for appropriate care management needs, documenting findings and communicating with the rest of the care team. Use approved screening tools which contribute to the assessment (i.e., Health Risk Assessment or other designed tools).
• Contribute to the development and modification of the Individualized Care Plan (ICP) including:
  • Review ICP recommendations with RN Care Manager Team Member and other Interdisciplinary Care Team (ICT) members as appropriate.
  • Educate members according to approved plan and material content.
  • Communicate unexpected results with RN Care Manager Team Member and other ICT members as appropriate.
• Assist members with immediate needs with regard to access, referrals and authorizations. Act as a member advocate at all times. Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services.
• Model the highest ethical behavior in relationships with co-workers, supervisors, members, providers, and colleagues in the community.
• Build and maintain a positive working relationship with providers, community agencies, and internal colleagues through all modes of communication (e.g., communication via in-person, over the phone, and through digital means such as email and fax). Promote a collaborative and effective working environment within the Team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on member case discussions.
• Engage with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and his or her medical/behavioral team, as well as to increase the member’s sense of control over their whole health.
• Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for…