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Iehp Nurse Jobs (NOW HIRING)

ECM CHW

Palm Springs, CA · On-site

$21/hr

Conduct outreach and engagement with IEHP members enrolled in Enhanced Care Management (ECM ... Collaborate with healthcare providers, nurses, social workers, and care managers to coordinate ...

ECM CHW

Palm Springs, CA · On-site

$17 - $21/hr

Conduct outreach and engagement with IEHP members enrolled in Enhanced Care Management (ECM ... Collaborate with healthcare providers, nurses, social workers, and care managers to coordinate ...

Community Health Worker

Riverside, CA · On-site

$21 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Providing advocacy on behalf of IEHP Members in the home, the community, and in provider ... Collaborates on Member care issues with other HHT members and consults with Nurse Care Manager and ...

Community Health Worker

Indio, CA · On-site

$21 - $25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Providing advocacy on behalf of IEHP Members in the home, the community, and in provider ... Collaborates on Member care issues with other HHT members and consults with Nurse Care Manager and ...

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Iehp Nurse information

See salary details

$17

$38

$65

How much do iehp nurse jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for iehp nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is an IEHP nurse?

An IEHP nurse is a registered nurse who works for Inland Empire Health Plan (IEHP), a public health plan serving residents of Riverside and San Bernardino counties in California. These nurses play a critical role in coordinating patient care, conducting health assessments, providing education, and supporting members in managing their health conditions. IEHP nurses often collaborate with physicians and other healthcare professionals to ensure members receive appropriate and timely care. Their work helps improve patient outcomes and ensures members navigate the healthcare system effectively.

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

To thrive as an IEHP Nurse, you need a valid RN license, solid clinical assessment skills, and experience in managed care or case management. Familiarity with care management software, utilization review systems, and knowledge of Medi-Cal or Medicaid regulations is often required. Strong communication, critical thinking, and the ability to advocate for patients are valuable soft skills in this role. These skills ensure effective coordination of care, compliance with healthcare policies, and optimal outcomes for IEHP members.

What are some common challenges IEHP nurses face when coordinating care for members, and how can these be addressed?

IEHP Nurses often encounter challenges such as managing complex cases with multiple comorbidities, navigating resource limitations, and ensuring effective communication between healthcare providers, members, and families. Addressing these challenges involves strong organizational skills, leveraging available IEHP resources, and proactive collaboration with interdisciplinary teams. Regular training, clear protocols, and robust support from case management colleagues can help nurses effectively coordinate care and improve outcomes for members.

What is the difference between Iehp Nurse vs School Nurse?

AspectIehp NurseSchool Nurse
CredentialsRN license, possibly additional certifications in public health or school healthRN license, often with school health certification
Work EnvironmentPublic health clinics, community outreach, immunization programsSchool settings, classrooms, school clinics
Employer & IndustryPublic health departments, community health organizationsEducational institutions, school districts
Common Search/ComparisonYesYes

The main difference between an Iehp Nurse and a School Nurse lies in their work environment and focus. Iehp Nurses typically work in public health settings, focusing on community health initiatives, immunizations, and outreach. School Nurses operate within educational institutions, providing health services directly to students. Both roles require RN licensure and may involve similar certifications, but their daily responsibilities and work settings differ significantly.

More about Iehp Nurse jobs

What cities are hiring for Iehp Nurse jobs?

Cities with the most Iehp Nurse job openings:

What states have the most Iehp Nurse jobs?

States with the most job openings for Iehp Nurse jobs include:

Infographic showing various Iehp Nurse job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 53% Full Time, 16% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 23 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

265th of 309 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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