ZipRecruiter

Log In

2

Remote Iehp Jobs (NOW HIRING)

UnitedHealth Group

Financial Analyst

Ontario, CA · Remote

Location: 100% fully remote. (Travel is 5% if in southern California). Overview : * A multi-payor ... Contracts with health plans such as Aetna, Anthem Blue Cross, Alignment, Blue Shield, IEHP ...

People also search for

All JobsIehp JobsRemote Iehp Jobs

Remote Iehp information

See salary details

$24K

$95.4K

$183.5K

How much do remote iehp jobs pay per year?

As of Jun 6, 2026, the average yearly pay for remote iehp in the United States is $95,368.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,000.00 and $129,500.00 per year, depending on experience, location, and employer.

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.

What does a typical day look like for someone working as 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 is a Remote IEHP job?

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.

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:
What job categories do people searching Remote Iehp jobs look for? The top searched job categories for Remote Iehp jobs are:
Remote Iehp jobs near you

Provider Quality Review Nurse, RN

Inland Empire Health Plan

Rancho Cucamonga, CA • Remote

Other

Posted 10 days ago

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.

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

    Apply