Clinical Care Coordinator, RN
2 weeks ago
At Altais, we are in search of innovative and driven individuals who are passionate about transforming healthcare experiences and improving the healthcare system for physicians, patients, and the clinical community. We are dedicated to developing advanced clinical support tools, technologies, and services that empower healthcare professionals to focus on what truly matters: providing exceptional care to individuals.
Your Team
Are you eager to collaborate with a high-performing, rapidly growing, and dynamic Care Management team? Altais and its subsidiaries represent one of the most esteemed medical groups in California, comprising over 4,000 physicians across more than 40 cities, serving over 500,000 patients. If you are excited about working in a mission-driven organization that supports skilled, dedicated, and thoughtful clinicians who are passionate about reshaping healthcare, we are excited to welcome you to your new role.
This position offers a hybrid work environment, allowing you to work from anywhere in the continental United States while adhering to California hours from approximately 9:00 AM to 5:00 PM Pacific Time.
Your Responsibilities
The Care Manager (RN) plays a crucial role in collaborating with external providers throughout the care continuum to enhance the quality of care provided to members. You will be responsible for identifying, developing, coordinating, promoting, supporting, and implementing various clinical quality and service improvement initiatives. The Care Manager serves as a resource for integrating evidence-based practices, providing provider training and education, reviewing and developing policies, and interpreting regulatory and accreditation standards. You will manage multiple complex projects that influence the quality and effectiveness of healthcare delivery and services, working alongside external-facing and plan quality improvement leaders and key stakeholders to support multidisciplinary teams.
Your Focus Areas Include:
- Delivering primarily telephonic post-discharge care coordination and management services for members, particularly within Altais' full-risk Medicare population.
- Conducting clinical assessments and providing education to members, families, and caregivers while developing and implementing personalized care plans.
- Utilizing advanced clinical judgment and critical thinking skills to execute care management responsibilities.
- Collaborating with inpatient care managers, Referral Services, Population Health, and other internal teams.
- Engaging with primary care providers, specialists, and partners in hospitals, skilled nursing facilities, and health plans.
- Participating in health plan and quality audits as necessary.
- Active RN License (California).
- Experience in utilization and coordination of care management.
- Familiarity with Epic is preferred.
- A minimum of 3 years of experience in a clinical or healthcare setting, demonstrating professional-level experience in quality improvement and clinical program oversight/project management.
- You are dedicated to enhancing the healthcare experience and align with the Altais mission.
- You are innovative and inquisitive, willing to explore new ideas and approaches.
- You take pride in your work and are responsible for maintaining high standards in everything you do.
- You are empathetic and known for your emotional intelligence, considering others in your decision-making process.
- You collaborate, recognizing that teamwork leads to better outcomes than individual efforts.
- You foster trust with colleagues and clients by valuing honesty and transparency.
Altais and its affiliates are committed to safeguarding the privacy and security of the personal information you provide. Please refer to our privacy notice for details on how we handle your information during the application process.
Physical Requirements: Office Environment - roles may involve part to full-time work in an office setting, with a focus on desk work. Activity level: Sedentary, for most of the workday.
External hires must pass a background check/drug screen. 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.
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