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IEHP

Care Manager, LVN

IEHP

. Serve as a resource for IEHP members and providers for care management and care coordination .

Posted 9/25/2026full-timeRancho Cucamonga • California • United StatesMid-LevelSenior💰 $63,898 - $83,075 per yearWebsite

About the role

Key responsibilities & impact
  • Serve as a resource for IEHP members and providers for care management and care coordination
  • Screen members for appropriate care management needs, document findings, and communicate with the care team using approved screening tools
  • Contribute to the development and modification of Individualized Care Plans with RN Care Managers and Interdisciplinary Care Team members
  • Educate members according to approved plans and materials
  • Communicate unexpected results with RN Care Managers and other Interdisciplinary Care Team members
  • Assist members with access, referrals, authorizations, and medical and behavioral health coordination issues
  • Act as a member advocate
  • Build and maintain working relationships with providers, community agencies, and internal colleagues through in-person, phone, email, and fax communication
  • Use evidence-based communication strategies such as Motivational Interviewing to resolve conflicts and collaborate on member cases
  • Engage members using evidence-based approaches to promote collaboration with medical and behavioral teams and increase member control over whole health
  • Participate in continuous quality improvement initiatives, including identifying and addressing HEDIS gaps and testing practices to improve member health outcomes
  • Perform other duties required to support Health Plan operations and department business needs

Requirements

What you’ll need
  • Three (3) or more years of care management experience in a health care delivery setting required
  • Current IEHP Team Members who have worked at least two (2) years in the Care Management department and are currently successful in their work performance during the last two (2) years, may be considered for this position in lieu of the minimum three (3) year experience requirement
  • Experience in an HMO or experience in Managed Care setting preferred
  • Minimum one (1) year clinical experience in and acute care facility, skilled nursing facility, home health or clinic setting preferred
  • High school diploma or GED required
  • Associate’s degree from an accredited institution preferred
  • Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required
  • Valid California Driver’s License preferred
  • Working knowledge of health care delivery systems
  • Working knowledge of PC applications including MS Office Suite and other supportive technology
  • Written and oral communication skills
  • Proven ability to read and interpret data
  • Proven ability to analyze problems and formulate appropriate plans, solutions, and courses of action
  • Proven ability to establish and maintain cooperative working relationships with individuals at all levels of the organization and members
  • Proven ability to maintain confidentiality of members and all related entity business matters of the organization
  • Proven ability to be detail oriented

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