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Iehp Case Jobs (NOW HIRING)

Inland Empire Health Plan

Care Manager, LVN (Remote)

$28.25 - $37.75/hr

Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human ... on member case discussions. * Engage with members, both in-person and on the phone, in a manner ...

Inland Empire Health Plan

Data Scientist II

California, MO · On-site

$118.60 - $157.14/hr

The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited ... Manage tests for specific providers and generate data to build out case studies and messaging ...

Planned Parenthood

LCSW of LMFT (Remote)

Anaheim, CA · On-site

$89K - $106K/yr

We are proud to offer a range of plans that help protect you in the case of illness or injury ... Applicants already credentialed with Cal Optima or IEHP Health Plans strongly preferred.

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All JobsIehp Case Jobs

Iehp Case information

See salary details

$30.5K

$42.7K

$52K

How much do iehp case jobs pay per year?

As of Aug 11, 2026, the average yearly pay for iehp case in the United States is $42,678.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $42,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an IEHP case manager, and why are they important?

To thrive as an IEHP Case Manager, you need a background in nursing, social work, or a related healthcare field, often with appropriate licensure or certifications such as RN or LCSW. Familiarity with care management software, electronic health records (EHRs), and utilization review systems is typically required. Strong communication, problem-solving, and organizational skills are essential for coordinating care and advocating for members. These competencies ensure effective care coordination, compliance with regulations, and improved health outcomes for IEHP members.

What is an IEHP case manager?

IEHP Case Managers are healthcare professionals who work for Inland Empire Health Plan (IEHP), a public health plan in California. They help members coordinate their medical care, access services, and manage chronic conditions by creating personalized care plans. Case managers serve as advocates for members, connecting them with community resources, providers, and support services to improve health outcomes. Their goal is to ensure members receive the right care at the right time while navigating the complex healthcare system.

What are some common challenges faced by IEHP case managers and how can they overcome them?

IEHP Case Managers often encounter challenges such as managing high caseloads, coordinating care across multiple providers, and addressing complex member needs. To overcome these, effective time management, strong communication skills, and familiarity with community resources are essential. Many case managers also rely on interdisciplinary team meetings and support from supervisors to ensure members receive timely, comprehensive care. Proactively seeking ongoing training and utilizing available technology can also help streamline workflows and improve outcomes.

What is the difference between Iehp Case vs Iehp Nurse?

AspectIehp CaseIehp Nurse
Required CredentialsCase management certification, relevant healthcare experienceNursing license (RN), nursing certification
Work EnvironmentCommunity health settings, outpatient clinicsHospitals, clinics, community health centers
Employer & Industry UsageHealthcare providers, government agenciesHospitals, clinics, healthcare organizations
Common Search & ComparisonPatients, case management rolesNursing roles, patient care

While both Iehp Case and Iehp Nurse work within healthcare settings, Iehp Cases focus on coordinating patient care and managing cases, often requiring case management certification. Iehp Nurses provide direct patient care, requiring an RN license and nursing certifications. Their roles differ in responsibilities and work environments but are both essential in delivering comprehensive healthcare services.

More about Iehp Case jobs
What cities are hiring for Iehp Case jobs? Cities with the most Iehp Case job openings:
What job categories do people searching Iehp Case jobs look for? The top searched job categories for Iehp Case jobs are:
Iehp Case jobs near you
Infographic showing various Iehp Case job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $42,678 per year, or $20.5 per hour.

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 16 days ago

Inland Empire Health Plan rating

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

259th of 304 rated insurance

Job description

Overview

This is a short-term assignment.  

What you can 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!

 

At Inland Empire Health Plan (IEHP), we believe the highest quality of care should be delivered to all in the Inland Empire.  We are thinking beyond the way Quality is viewed today - we believe it should be holistic and transformative.  IEHP's provider incentive programs serve an important role in achieving IEHP's quality goals.

Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:

  • Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to the Medical Director of case assignments
  • Effectuate all action items as determined by the Medical Director to resolution of case assignments
  • Reviewing escalated issues
  • Discussing and reviewing cases with Medical Directors referred to the Quality Management (QM) department
  • Investigation of cases includes, but not limited to, the documentation of case summaries, follow up actions, outreach efforts, and communications in the QM database

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.

Additional Benefits

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
Key Responsibilities
  • Investigate and complete case summaries and make recommendations for any Potential Quality of Care Incidents (PQI) referred to the QM department.
  • Maintain direct communication with IEHP departments, external facilities including hospitals, Skilled Nursing Facilities, and/or Providers to ensure all PQI issues are thoroughly investigated, and care is coordinated in a timely manner, as needed.
  • Review requested medical records to ensure complete case documentation is received from all practitioners, providers, and entities/agencies to ensure thorough investigation of the issue.
  • Review case findings and recommendations with Medical Director. Issue Corrective Action Plans (CAP), review CAP responses, draft Opportunity for Improvement letters, and coordinate other interventions as needed to ensure all issues were addressed and future occurrences of the same issue are mitigated.
  • Complete data entry into database systems, maintain updated documentation and other tracking mechanisms for all cases.
  • Review and execute ad hoc requests, quality reviews, and/or focused audits, as needed.
  • Escalate issues of non-compliance to the Quality Systems Management team.
  • Maintain working knowledge of regulatory requirements as they relate to QM operations and protocols.
  • Complete other tasks and assignments based on department and business needs.
  • Demonstrate a commitment to incorporate LEAN principles into daily work.
    • Qualifications

    Education & Requirements 

    • Three (3) or more years of any individual or combined healthcare experience in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management
    • Three (3) or more years of work experience in a managed care, hospital, provider practice, or other comparable healthcare experience
    • Experience preferably in a quality/performance improvement setting
    • Bachelor's degree in Nursing from an accredited institution required
      • In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position
      • This experience is in addition to the minimum years listed in the Experience Requirements above
    • Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty) preferred
    • Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required

    Key Qualifications

    • Must have a valid California Driver's License
    • Excellent understanding of performance improvement, quality assurance, and utilization management
    • Knowledgeable in clinical analysis of health records, assessing or evaluating quality, and identifying problems or issues with care delivery
    • Microcomputer applications: spreadsheet, database, and word processing
    • Excellent written and verbal communication skills
    • Excellent coordination skills
    • Ability to communicate findings and form recommendations based on clinical case reviews
    • Ability to demonstrate critical thinking, strong problem-solving capability. Strong attention to detail
    • Ability to prioritize work to ensure adherence to project deadlines. Ability to effectively escalate issues as identified, following established protocols
    • Positive attitude and ability to work in a team setting
    • Self-direction and ability to work with minimal supervision
    • Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire
    • Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval

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

    Work Model Location

    Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP's main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership)

    Pay RangeUSD $91,249.60 - USD $120,910.40 /Yr.Employment Type: OTHER

    What Inland Empire Health Plan employees say

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