Care Manager, RN – Health Access, ECM

IEHP

Care Manager, RN responsible for effective care management and collaboration within healthcare teams for IEHP. Focuses on person-centered model addressing medical, behavioral, and social needs.

Posted 7/30/2026full-timeRemote • California • 🇺🇸 United StatesMid-LevelSenior💰 $91,249 - $120,910 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the ability to conduct comprehensive assessments, develop individualized care plans, and coordinate care across multiple health systems. Proficient in utilizing evidence-based approaches and clinical tools to enhance member engagement and health outcomes.

Highest-signal resume keywords

Care Management ExperienceRegistered Nurse (RN) LicenseIndividualized Care Plan (ICP) DevelopmentMotivational InterviewingCertified Case Manager (CCM)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AssessmentCare CoordinationEvidence-Based CareHolistic AssessmentCare Transition PlanningInterdisciplinary Team LeadershipMedical Condition TrainingBehavioral Health CoordinationComplex Case ManagementHealth Care Delivery

Soft Skills

Effective Relationship BuildingTeam CollaborationCommunication SkillsStrategic PlanningIndependent Clinical Judgment

Certifications & Qualifications

Registered Nurse (RN)Certified Case Manager (CCM)

Industry Keywords

Managed CareHealth AccessAcute Care FacilitySkilled Nursing FacilityHome HealthClinic SettingCalifornia BRNCare Team MeetingsMember EngagementHealth Partners Coordination

About the role

Key responsibilities & impact

Exercise independent clinical judgment and strategic planning in managing a caseload of members with medical needs according to department processes and procedures.
Recommend care coordination strategies for members, including but not limited to: Utilize clinical tools and metrics (i.e., brief medical interventions) as necessary to inform interventions, manage caseloads, and escalate high-risk cases appropriately.
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 improving the member’s ability to manage and control their whole health.
Conduct comprehensive, holistic assessment according to the scope of the RN license.
Assimilate assessment information into an individualized care plan (ICP), communicate ICP with members, approved family or caregiver, and other members of the care team.
Lead inter/transdisciplinary care team meetings to share information, update and inform care plan.
Coordinate with internal and external health partners to support Members comprehensive care needs.
Participate and lead care transition plan responsibilities.
Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services.
Coordinate care for members with complex medical and social needs, including across the physical, behavioral, and dental health delivery systems.
Provide formal and informal training and support for Health Access Team Members on medical conditions, including treatments and evidence-based for treatment.
Provide clinical consultation and support for Health Access ECM Team Members on physical health conditions, including evidence-based care.
Represent the Enhanced Care Management team as the lead member when necessary.

Requirements

What you’ll need

Three (3) or more years of care management experience in a health care delivery setting required.
Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory.
Experience in a Managed Care setting preferred.
Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred.
Associate’s degree in Nursing from an accredited institution required.
Bachelor’s degree in Nursing from an accredited institution preferred.
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required.
Certified Case Manager (CCM) preferred.
Must have a valid California Driver’s license and valid automobile insurance.

Benefits

Comp & perks

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