Inpatient Care Manager, LVN
2 weeks ago
At Altais, Inc., we're driven by a passion for revolutionizing healthcare experiences and transforming the clinical landscape for physicians, advanced care providers, patients, and the clinical community.
We're building innovative clinical support tools, technology, and services to empower doctors to focus on what matters most: delivering exceptional care.
Our mission-driven organization values bold thinking, curious learning, and co-creation. We're committed to fostering a culture of compassion, integrity, and accountability.
About Your TeamOur Inpatient Care Management team is a high-performing, fast-growing, and dynamic group of clinicians and innovators. We're part of a 4,000+ physician network, serving over 500,000 patients across 40 cities in California.
If you're passionate about reshaping healthcare and want to be part of a team that values innovation and collaboration, we'd love to meet you.
About Your WorkAs an Inpatient Care Manager, LVN, you'll be part of a clinically strong and cohesive team that's always collaborative and supportive. You'll grow and thrive in a setting that encourages bold thinking, curious learning, and co-creation.
Your role will involve initial and concurrent utilization review, discharge planning, coordination of care, and referrals for hospitalized members. You'll work closely with physicians, the care team, and Medical Directors to ensure patients receive the right care, at the right time, and in the right place.
You'll assess, coordinate, and implement care plans to ensure patients' needs are met across the continuum of care, targeting optimal experience, outcomes, and cost.
As a key member of our team, you'll establish relationships and foster respect and rapport with our Health Management Operations and Health Value Teams. You'll work closely with Provider Partners to manage and coordinate care for hospitalized members at risk and at their most vulnerable.
We seek individuals with a strong commitment to patient-centered care and a passion for promoting health, wellness, and patient and provider experience.
Your FocusConducting initial and concurrent review and discharge planning/care coordination, utilizing evidence-based criteria and collaboration with 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.
The Skills, Experience & Education You BringWorking knowledge and application of utilization management standards, medical necessity criteria, involving organization, extraction, and assimilation of relevant and appropriate clinical data from medical records, and utilization of evidenced-based criteria based on nationally recognized treatment standards.
Employment of effective and meaningful communication skills, both verbal and written, with both internal and external customers, aimed at advocacy for patient experience, optimal outcomes, and accuracy of patient record.
Development of collaborative relationships and work with Providers and fostering a shared vision and values.
Vocational or college-level LVN program preferred. Current unrestricted California LVN 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.
You Share Our Mission & ValuesYou are passionate about improving the healthcare experience and want to be part of the Altais, Inc. mission.
You are bold and curious, willing to take risks, try new things, and be creative.
You take pride in your work and are accountable for the quality of everything you do, holding yourself and others to a high standard.
You are compassionate and known as someone who demonstrates emotional intelligence, considers others when making decisions, and always tries to do the right thing.
You co-create, knowing that we can be better as a team than individuals. You work well with others, collaborating and valuing diversity of thought and perspective.
You build trust with your colleagues and customers by demonstrating that you are someone who values honesty and transparency.
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