<p>This position is a temporary role facilitated through one of our contracted agencies and is not a direct employment opportunity with IEHP. The contracted agency offers an assignment length of up to six months, during which the candidate will provide support for IEHP.</p> <p>What you can expect!</p> <p>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!</p> <p>Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you'll collaborate with hospitals and Independent Physician Associations to deliver continuous, quality healthcare to our high-risk Members. As the Integrated Transitional Nurse, Rn, you'll lead risk assessments, oversee reviews, and ensure seamless transitions between care settings. Dive into collaboration with various departments, identifying outliers, and ensuring compliance. Be the liaison between stakeholders, contributing to effective communication and goal achievement. Join us and be a part of revolutionizing transitional healthcare!</p> <p>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.</p> <p>Education & Requirements</p> <ul> <li>Two (2) or more years of Utilization Management / Case Management in a health care delivery setting in Acute or Skilled nursing, with an emphasis on Concurrent Review and Utilization Management </li><li>Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required </li><li>Must have a valid California Driver's license and valid automobile insurance </li><li>Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points </li></ul> <p>Key Qualifications</p> <ul> <li>Knowledge of evidence based clinical criteria and California Children Services (CCS) </li><li>Must have analytical skills. Excellent communication, interpersonal and organizational skills </li><li>Self-starter and a team player </li><li>Time management, and problem-solving abilities </li><li>Must have a high degree of patience </li></ul> <p>Start your journey towards a thriving future with IEHP and apply.</p> <p>Pay Range</p> <ul> <li>$43.87 USD Hourly - $43.87 USD Hourly </li></ul>