Inpatient Care Manager RN
4 weeks ago
We're a mission-driven organization revolutionizing healthcare experiences and systems. Our team of clinicians and innovators is passionate about enabling better health care experiences and transforming the healthcare system for physicians, advanced care providers, patients, and the clinical community.
Our company, Altais Health Solutions, is part of a family of companies that includes Brown & Toland Physicians, Family Care Specialists, and Altais Medical Groups. We're committed to building breakthrough clinical support tools, technology, and services to empower doctors to focus on what they do best: caring for people.
About the RoleWe're seeking a highly skilled Inpatient Care Manager RN to join our dynamic Inpatient Care Management team. As an Inpatient Care Manager RN, you'll play a critical role in ensuring patients receive the right care, at the right time, and in the right setting.
Your responsibilities will include:
- Conducting initial and concurrent review and discharge planning/care coordination, utilizing evidence-based criteria and collaboration with our Medical Directors to ensure appropriate admissions, level of care, and timely discharges.
- Monitoring and continually assessing and evaluating member severity of illness, intensity of services, and response to treatment, making recommendations for continued stay, transition to lower level/tertiary care, and coordinating member transitions.
- Applying clinical knowledge, critical thinking skills, and solutions-oriented problem-solving and strong decision-making approaches.
To be successful in this role, you'll need:
- Working knowledge and application of utilization management standards, medical necessity criteria, and evidence-based criteria based on nationally recognized treatment standards.
- Effective and meaningful communication skills, both verbal and written, with internal and external customers, aimed at advocacy for patient experience, optimal outcomes, and accuracy of patient records.
- Development of collaborative relationships and work with our Providers and fostering a shared vision and values.
- Bachelor of Science in Nursing (BSN) preferred.
- Current unrestricted California RN licensure required.
- Minimum of 3-5 years recent acute/hospital clinical experience.
- Computer skills proficient, experience in EMR, Microsoft Office Suite.
- Desired experience in managed care concepts and practice.
- Discharge Planning experience preferred.
We provide a competitive compensation package that recognizes your experience, credentials, and education, alongside a robust benefits program to meet your needs. Our company values the contribution each Team Member brings to our organization, and we're committed to protecting the privacy and security of the personal information you provide to us.
Physical Requirements: Office Environment - roles involving part to full-time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of workday.
External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State, and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status, or disability status and any other classification protected by Federal, State, and local laws.
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