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UM BH Nurse, RN - CCA

Company: Inland Empire Health Plan
Location: Los Angeles
Posted on: May 11, 2024

Job Description:

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 Supervisor, UM Inpatient & Specialty - CCA, the incumbent will work with hospitals, in collaboration with their assigned Team Center to initiate coordinated and continuous cost-effective quality healthcare to ensure the continuity of the Members care needs are met timely and readmission prevention is anticipated for IEHP Members. The incumbent is responsible for providing intervention services to help Members and their families cope with the psychiatric conditions that can accompany their medical condition or inhibit optimal recovery such as transition from inpatient psychiatric care to outpatient care and to promote better health and functioning in order for Members to make the most effective use of their own abilities. The review and authorization of treatment plans and authorization requests submitted by contracted Behavioral Health treatment providers. The UM BH Burse, RN - CCA will also provide case management for members who are hospitalized for psychiatric treatment and collaborate with other Care Managers (LCSWs) regarding psychiatric medication therapy.PerksIEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.CalPERS retirement457(b) option with a contribution matchGenerous paid time off- vacation, holidays, sickState of the art fitness center on-siteMedical Insurance with Dental and VisionPaid life insurance for employees with additional optionsShort-term, and long-term disability optionsPet care insuranceFlexible Spending Account Health Care/ChildcareWellness programs that promote a healthy work-life balanceCareer advancement opportunities and professional developmentCompetitive salary with annual merit increaseTeam bonus opportunitiesEducation & ExperienceTwo (2) years or more of performing or facilitating social work or related services in a community-based setting. Experience with Commercial Plan Coverage required.Preferred experience in performing social work or related services in a Manage Care environment and experience in discharge planning.High school diploma or GED required.Bachelor's degree in Nursing from an accredited institution preferred.Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required.Key QualificationsKnowledge of community resources and ability to make recommendations about the best course of action.Knowledge of health plan benefits in order to make referrals to other agencies when needed.Clinical knowledge of how mental disorders and psychosocial stressors can impact health conditions.Provide Clinical guidelines for Care Managers regarding psychiatric medication treatment issues and demonstrate expertise in the treatment of severe and persistent mental illness.Knowledge of Medicare and Medi-Cal benefits and eligibility criteria.Knowledge of Commercial Managed Care coverage required.Clinical assessment skills to review treatment plans and clinical information in order to make appropriate referrals for treatment.Critical Thinking Skills.Start your journey towards a thriving future with IEHP and apply TODAY!by Jobble

Keywords: Inland Empire Health Plan, Los Angeles , UM BH Nurse, RN - CCA, Healthcare , Los Angeles, California

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