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Remote Iehp Jobs (NOW HIRING)

Remote Iehp information

What is a Remote IEHP?

A Remote IEHP job refers to a position with Inland Empire Health Plan (IEHP) that allows employees to work from home or another remote location. These roles can vary across departments, including customer service, case management, IT, and healthcare administration. Remote IEHP positions typically require reliable internet access, strong communication skills, and the ability to work independently. Job responsibilities depend on the specific role but generally involve supporting healthcare services, managing member inquiries, or ensuring compliance with health plan policies.

What does a typical day look like for a Remote IEHP care coordinator?

As a Remote IEHP care coordinator, your day typically involves conducting telephonic or virtual assessments, coordinating care plans, and following up with members to ensure their needs are being met. You will also work closely with healthcare providers, social workers, and support services to facilitate access to medical and social resources. Regular documentation and updating of electronic records are essential, as is participating in virtual team meetings for case reviews and collaboration. This role requires balancing independent work with regular communication and teamwork to deliver comprehensive, quality support to IEHP members.

What are the key skills and qualifications needed to thrive in the Remote IEHP position, and why are they important?

To thrive as a Remote IEHP (In-Home Supportive Services for Individuals with Enhanced Health Plan), you need a background in health care coordination, case management, and experience working with Medicaid or managed care populations, often supported by a relevant degree or social work licensure. Familiarity with care management software, electronic health records (EHRs), and telehealth platforms is typically required. Strong communication, organizational skills, and the ability to work independently make candidates stand out in this virtual environment. These competencies are crucial for effectively managing member care remotely, collaborating across teams, and ensuring compliance with health plan requirements.

More about Remote Iehp jobs

What cities are hiring for Remote Iehp jobs?

Cities with the most Remote Iehp job openings:

What are the most commonly searched types of Iehp jobs?

The most popular types of Iehp jobs are:

What states have the most Remote Iehp jobs?

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

Infographic showing various Remote Iehp job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% Remote job distribution.

Quality Program Nurse, RN (Remote with field work)

Remote


Inland Empire Health Plan
Insurance Services • 1 - 5K employees

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

270th of 315 rated insurance

Paid breaks

Respectful managers

Learn new skills


$91K - $120K/yr

Other

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago


Job description

Overview
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!
Under the direction of the Manager, Quality Management Nurses, Quality Program Nurses (QPN) are responsible for the implementation of Quality Management policies, procedures, and activities. QPN's enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical Record Review (MRR) criteria.
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
  • 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
  1. Perform initial, periodic, and verification Site Review and Medical Record Surveys for assigned Primary Care Providers. Conduct other regulatory audits as assigned.
  2. Review Primary Care Provider Corrective Action Plans (CAP) submissions and monitor CAP compliance.
  3. Perform focused audits as directed by IEHP Subcommittees.
  4. Perform annual HEDIS data abstractions.
  5. Monitor assigned PCPs for potential problem hours and document findings.
  6. Review QM reports and CAP log on a weekly basis. Responsible for Provider compliance and follow up.
  7. Attendance and participation in Quality Management Committee and/or Subcommittee meetings, as needed.
  8. Attend Site Review and Medical Record Survey training, as mandated by DHCS, to maintain and become a Certified Site Reviewer.
  9. Attendance and participation in Quality Management, Medical Services, and other inter-departmental staff meetings as indicated.
  10. Attendance and participation in Quality Management Committee or Subcommittee meetings, as directed.
  11. Any other duties as required to ensure Plan operations are successful.

Qualifications
Education & Requirements
  • Three (3) or more years of any individual or combined experience in Quality Assurance, Utilization Management, Case Management, provider liaison duties, and/or clinical experience in a hospital/clinical setting
  • Experience preferably in an HMO or Managed Care setting
  • Associate's degree in Nursing from an accredited institution required
  • Bachelor's degree in Nursing from an accredited institution preferred
  • Possession of valid Certified Site Reviewer Certificate issued from DHCS or participating Medi-Cal Managed Health Plan Provider
  • If not a CSR, the candidate should be willing and able to get certified within 6 months of hire
  • Possession of an Active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required
  • Valid State of California driver's license and valid automobile insurance
Key Qualifications
  • Knowledgeable and understanding of nursing principles & evidence based practices
  • Computer applications: spreadsheet, database, and word processing.
  • Strong organizational, time-management, and critical thinking skills
  • Excellent written and verbal communication and interpersonal skills.
  • Highly skilled in interpersonal communication, including conflict resolution.
  • Minimal to moderate physical activity; may include standing, bending, sitting for long periods of time and repetitive motion
  • Ability to manage multiple projects with completing deadlines and changing priorities
  • Automobile travel within the Inland Empire
  • May periodically be required to report to IEHP's main campus for in-person meetings or for other business needs as determined by IEHP leadership

Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
Telecommute (All IEHP positions approved for telecommute 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)
Automobile travel within the Inland Empire
May periodically be required to report to IEHP's main campus for in-person meetings or for other business needs as determined by IEHP leadership
Pay Range
USD $91,249.60 - USD $120,910.40 /Yr.


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