Integrated Transitional Care Nurse, RN
About The Position
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! Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you'll collaborate with hospitals and Independent Physician Associations to deliver continuous, quality healthcare to our high-risk Members. As the Integrated Transitional Nurse, Rn, you'll lead risk assessments, oversee reviews, and ensure seamless transitions between care settings. Dive into collaboration with various departments, identifying outliers, and ensuring compliance. Be the liaison between stakeholders, contributing to effective communication and goal achievement. Join us and be a part of revolutionizing transitional healthcare! 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.
Requirements
- Two (2) or more years of Utilization Management / Case Management in a health care delivery setting in Acute or Skilled nursing, with an emphasis on Concurrent Review and Utilization Management
- Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required
- 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
Nice To Haves
- Knowledge of evidence based clinical criteria and California Children Services (CCS)
- Must have analytical skills. Excellent communication, interpersonal and organizational skills
- Self-starter and a team player
- Time management, and problem-solving abilities
- Must have a high degree of patience
Responsibilities
- Lead risk assessments
- Oversee reviews
- Ensure seamless transitions between care settings
- Dive into collaboration with various departments, identifying outliers, and ensuring compliance
- Be the liaison between stakeholders, contributing to effective communication and goal achievement
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Industry
Religious, Grantmaking, Civic, Professional, and Similar Organizations
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
