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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 supervision of the Manager, Integrated Care Management, the Care Extender - ECM is responsible for working as the liaison for all incoming referrals for Enhanced Care Management (ECM) members. The Care Extender - ECM is responsible for skillfully engaging IEHP members who are transferred to the Care Extender queue, screening them for ECM eligibility, and referring over to the attributed Community Based Care Management Entity (CBCME). The Care Extender - ECM plays a critical role in determining appropriate routing of referrals within IEHP and the community to meet the members’ needs. The Care Extender - ECM will utilize multiple care management platforms to formally document the member’s disposition.
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.
Act as a subject matter expert resource for internal and external contacts supporting all Health Care Organizations. This includes: Assist Enhanced Care Management leadership with operational tasks, telephonic functions, projects, tracking, and trending. Facilitate communication between internal departments and external entities. Support Coordinators on Model 2 CBCME teams needing assistance. Provide training/precepting for new staff to IEHP and Enhanced Care Management processes and operations.
Assist Enhanced Care Management leadership with operational tasks, telephonic functions, projects, tracking, and trending.
Facilitate communication between internal departments and external entities.
Support Coordinators on Model 2 CBCME teams needing assistance.
Provide training/precepting for new staff to IEHP and Enhanced Care Management processes and operations.
Assist leadership with data collection, including Team Member metrics and process improvement initiatives
Work as part of a multidisciplinary team to ensure coordinated and continuous care of members
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Perform initial outreach and engagement to Enhanced Care Management eligible members who have not been attributed to an Enhanced Care Management team.
Identify the appropriate Community Based-Care Management Entities (CB-CME) for the member.
Model the highest ethical behavior in relationships with co-workers, supervisors, members, Providers, and colleagues in the community.
Promote a collaborative and effective working environment within the Enhanced Care Management team by engaging in evidence-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.
Build and maintain positive working relationships with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax.
Engage with members by letter, email, texts, and telephone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and their 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 identifying and addressing HEDIS gaps, and by identifying, developing, and testing new practices for improving the outcomes of the Enhanced Care Management team.
Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services.
Ensure documentation is accurate and in compliance with regulatory requirements and accreditation standards.
Participate in Health Plan staff meetings or other activities as needed.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.
Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)
Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
Visit company websiteJobs and hiring trendsUSD 23.98-30.57 hourly / hour
Temporary
Entry · 2+ years experience
Remote
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