Manager, Integrated Transitional Care

What You Can You Expect?

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 direction of the Director of Integrated Transitional Care (ITC), the Manager position will be responsible for the day-to-day management of the clinical and non-clinical ITC staff to assure that compliance and adherence to regulatory entities are completed in a timely, fair, consistent manner using nationally recognized criteria in conjunction with UM Subcommittee Criteria and other medical criteria as outlined per policy. In this capacity, position will interface with internal and external customers, hospitals, and IPAs to ensure coordinated and continuous cost-effective quality healthcare for IEHP Members. This position is also accountable for the development and implementation of programs that address high cost, high risk populations to provide navigation programs for IEHP members who require special monitoring, handling, coordination and authorization of services and resources to address their chronic disease needs as they progress through various stages of their disease process.

Perks!

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary.
• Hybrid schedule.
• CalPERS retirement.
• 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

Education & Requirements

• Five (5) or more years of experience in leadership in health care including two (2) years of experience in Managed Care. 
• Bachelor’s degree in a related field from an accredited institution required.
• Candidate with an active, unrestricted, and unencumbered Registered Nurse (RN) issued by the California BRN without a Bachelor’s degree will require four (4) years of additional relevant work experience.
• Candidate with an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians without a Bachelor’s degree will require six (6) years of additional relevant work experience.
• In lieu of the required degree and if no clinical licensure is held, a minimum of eight (8) years of additional relevant work experience is required for this position.

Key Qualifications

• Working knowledge of managed care including HEDIS and CAHPs, CMS, DMHC and NCQA regulations health plan regulations.
• Well informed of the resources available in the Inland Empire to support Members (community resources, BH programs, waiver, and grant programs).

Start your journey towards a thriving future with IEHP and apply!