Care Manager, RN – Health Access, ECM

IEHP

. Work effectively with the Health Access Enhanced Care Management Care Coordination team, members and families, other professionals, and designated healthcare care organization medical teams .

Posted 10/1/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $91,250 - $120,910 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, focusing on person-centered approaches to address the medical, behavioral, and social needs of diverse populations. Proficient in coordinating care, promoting health behaviors, and applying evidence-based communication strategies within a managed care environment.

Highest-signal resume keywords

Care Management ExperienceRegistered Nurse (RN) LicenseCertified Case Manager (CCM)Motivational InterviewingPopulation of Focus Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care CoordinationBehavioral Health InterventionsClinical ExpertiseEvidence-Based CommunicationHealth Behavior Promotion

Soft Skills

Interpersonal CommunicationRelationship BuildingConflict ResolutionSelf-ManagementCultural Sensitivity

Certifications & Qualifications

Registered Nurse (RN)Certified Case Manager (CCM)

Industry Keywords

Managed CareHEDISCAHPSNCQA AccreditationChronic Medical Conditions

About the role

Key responsibilities & impact

Work effectively with the Health Access Enhanced Care Management Care Coordination team, members and families, other professionals, and designated healthcare care organization medical teams
Provide high-quality, effective care management to IEHP members
Apply a person-centered model accounting for members’ medical, behavioral, and social needs
Conduct outreach and engagement with members
Engage members in skilled therapeutic interactions to promote health behaviors
Provide behavioral health interventions within scope
Coordinate care and link members to resources
Work with professionals and community organizations to ensure quality of care
Facilitate seamless transitions of care and the right care at the right time
Provide clinical expertise, leadership, and oversight within the Enhanced Care Management program
Promote behavioral health principles of relationship-based care and education within IEHP and the community
Meet face to face with highest-risk/high-utilizer populations in the field, with member consent
Support and engage members to promote positive health behaviors
Collaborate with care-team members and external partners
Incorporate IEHP Quality Program goals, including HEDIS, CAHPS, and NCQA Accreditation

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
Experience developing and maintaining effective relationships with clients and coworkers
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
Population of Focus Experience: Adults, unaccompanied youth & children, and families experiencing homelessness
Experience with adults, youth, and children at risk for avoidable hospital or ED care
Experience with adults, youth, and children with serious mental health and/or substance use disorder needs
Experience with adults living in the community and at risk for long-term care institutionalization
Experience with adult nursing facility residents transitioning to the community
Experience with children and youth enrolled in CCS or CCS Whole Child Model with additional needs beyond their CCS conditions
Experience with children and youth involved in child welfare (foster care)
Experience with adults and youth transitioning from incarceration
Experience with pregnant and postpartum individuals; birth equity population of focus
Associate’s degree in Nursing from an accredited institution required
Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required
Bachelor’s degree in Nursing from an accredited institution preferred
Certified Case Manager (CCM) preferred
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
Strong knowledge and in-depth understanding of skill in evidence-based communication such as Motivational Interviewing, or similar empathy-based communication strategies
Understanding of and sensitivity to multi-cultural community
Self-management philosophies and practices, especially as they relate to chronic medical conditions
Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both
Bilingual (English/“Target Language”) preferred
Highly skilled interpersonally, with excellent relationship skills
Highly skilled in interpersonal communication, including resolving conflict with co-workers
Skillful in informally and formally sharing expertise
Ability to tolerate, manage, and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices

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