Inpatient Care Manager, LVN
2 days ago
At Altais, Inc., we're dedicated to revolutionizing the healthcare system by empowering clinicians and innovators to create better healthcare experiences. Our mission is to enable physicians, advanced care providers, patients, and the clinical community to thrive in a collaborative and supportive environment.
About Your TeamWe're a high-performing, fast-growing team of 4,000+ physicians working in over 40 cities throughout California, caring for more than 500,000 patients. Our team is passionate about reshaping healthcare and values innovation, creativity, and bold thinking.
About Your WorkAs an Inpatient Care Manager, LVN, you'll play a critical role in guiding the initial and concurrent utilization review, discharge planning, coordination of care, and referrals for hospitalized members. You'll collaborate with physicians, the care team, and our Medical Directors to ensure patients receive the right care at the right time.
Your work will involve assessing, coordinating, and implementing care plans to ensure patients' needs are met across the continuum of care, targeting optimal experience, outcomes, and cost. You'll establish relationships and foster respect and rapport with our Health Management Operations and Health Value Teams and work closely with our Provider Partners from the healthcare team responsible for the management and coordination of our hospitalized members at risk.
We seek individuals with a strong commitment to patient-centered care and a passion for promoting health, wellness, and patient as well as provider experience.
Your Focus
Conducting Initial and Concurrent Review and Discharge Planning/Care Coordination, utilizing evidence-based criteria coupled with your clinical expertise 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 appropriate continued stay, transition to lower level/tertiary care, and coordinate member transitions.
Applying clinical knowledge, critical thinking skills, as well as your solutions-oriented problem-solving and strong decision-making approaches.
The Skills, Experience & Education You Bring
Working knowledge and application of utilization management standards, medical necessity criteria, which involves the 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 our internal and external customers, aimed at advocacy for patient experience, optimal outcomes, and accuracy of patient record.
Development of collaborative relationships and work with our 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.
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