Manager, ITC Quality - Rancho Cucamonga, United States - Inland Empire Health Plan

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

The Manager, Integrated Transitional Care Manager Quality & Training reports to the Integrated Transitional care Director and is responsible for collaborating with other Integrated Transitional Care (ITC) managers and staff within the department, in addition to other units outside of ITC such as, but not limited to, Hospital Relations and Provider Relations. The main objective of this role is to ensure the proper functioning of the training and quality management aspects within ITC. The focus is on implementing timely, highly regulatory changes and providing training, tools, and techniques to enable others to achieve quality standards, all while ensuring audit readiness.

Perks

IEHP 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 retirement
• 457(b) option with a contribution match
• Generous paid time off- vacation, holidays, sick
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Paid life insurance for employees with additional options
• Short-term, and long-term disability options
• Pet care insurance
• Flexible Spending Account Health Care/Childcare
• Wellness programs that promote a healthy work-life balance
• Career advancement opportunities and professional development
• Competitive salary with annual merit increase
• Team bonus opportunities

Education & Experience

• Five (5) or more years of relevant experience in leadership in health care including two (2) years of experience in Managed Care
• Bachelors degree in a related field from an accredited institution required.
• In lieu of a Bachelors degree, one of the following applicable scenarios may be considered:
• • Candidate with an active, unrestricted, and unencumbered Registered Nurse (RN) issued by the California BRN without a Bachelors degree will require four (4) years of additional relevant work experience. This experience is in addition to the minimum years listed in the Experience Requirements above.
  • Candidate with an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians without a Bachelors degree will require six (6) years of additional relevant work experience. This experience is in addition to the minimum years listed in the Experience Requirements above.
  • In lieu of the required degree and if no clinical licensure is held, a minimum of eight (8) 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.
• Internal Candidates Only:
• • In lieu of the required degree, a minimum of five (5) years of IEHP work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above.
  • Minimum possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required.

Key Qualifications

• The Manager of Quality and Training in Integrated Transitional Care must possess a broad and deep knowledge base inclusive of:
  • A thorough understanding of healthcare regulations and standards such as those from NCQA, DMHC, DHCS, and CMS, coupled with insights into integrated transitional care principles to enhance patient transitions and outcomes.
  • Familiarity with quality improvement methodologies (e.g., Six Sigma, Lean) and training strategies grounded in adult learning principles is essential for developing effective programs.
  • Proficiency in project management, data analysis, and performance evaluation is crucial for overseeing projects and driving data-informed decisions.
  • Change management techniques and risk management strategies to navigate the complexities of healthcare delivery.
  • Awareness of ethical and legal considerations in healthcare and a commitment to staying updated on industry trends are vital for ensuring compliance and fostering continuous improvement.
  • Training and development, grounded in adult learning principles and effective instructional design, is critical for crafting and implementing training programs that are both engaging and impactful.
  • Cross-Disciplinary Understanding and Appreciation.
  • Regulatory and Industry Knowledge.
• The Manager of Quality and Training in Integrated Transitional Care should embody a unique combination of skills critical for overseeing the multifaceted aspects of this role including:
  • Leadership ability stands at the forefront, with a necessity for inspiring and guiding teams toward achieving the highest standards in quality and training.
  • Excellent communication skills, adept at conveying complex information clearly and engaging effectively with diverse audiences.
  • Analytical thinking is another cornerstone, allowing for the insightful interpretation of data and informed decision-making to optimize program effectiveness and operational efficiency.
  • Skills to equip the manager to lead with vision, drive continuous improvement, and foster an environment of excellence in integrated transitional care.
  • Exceptional communication and interpersonal skills.
  • Robust planning and project management skills.
  • Advanced analytical and problem-solving skills.
  • Numerical and statistical analysis proficiency.
• The Manager of Quality and Training in Integrated Transitional Care should embody a unique combination of skills critical for overseeing the multifaceted aspects of this role including:
  • Leadership ability stands at the forefront, with a necessity for inspiring and guiding teams toward achieving the highest standards in quality and training.
  • Excellent communication skills, adept at conveying complex information clearly and engaging effectively with diverse audiences.
  • Analytical thinking is another cornerstone, allowing for the insightful interpretation of data and informed decision-making to optimize program effectiveness and operational efficiency.
  • Skills to equip the manager to lead with vision, drive continuous improvement, and foster an environment of excellence in integrated transitional care.
  • Exceptional communication and interpersonal skills.
  • Robust planning and project management skills.
  • Advanced analytical and problem-solving skills.
  • Numerical and statistical analysis proficiency.
• Proven ability to:
  • Conduct effective and engaging presentations in a variety of delivery formats.
  • Multi-task, prioritize and stay organized is essential.
  • Show persistence and servant leadership.
  • Possess a strategic mindset.
  • Lead change facilitation and management.
  • Possess Emotional Intelligence.
  • Show adaptability and resilience.
  • Show continuous learning and development.

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