Outpatient Care Manager RN

6 days ago


Oakland, California, United States Altais, Inc. Full time
About Our Organization

Altais, Inc. is a leading healthcare services company dedicated to revolutionizing the healthcare system for physicians, patients, and the clinical community. We are committed to enabling better healthcare experiences through innovative clinical support tools, technology, and services.

About Your Team

Our Care Management team is a high-performing, fast-growing, and dynamic group of professionals who are passionate about improving healthcare outcomes. We are part of a larger organization that includes Brown & Toland Physicians, Family Care Specialists, and Altais Medical Groups.

About Your Work

The Care Manager (RN) will partner with external providers across the continuum of care to enhance the overall quality of care delivered to members. This role will involve identifying, developing, coordinating, promoting, supporting, and implementing assigned clinical quality and/or service improvement projects and programs.

Key Responsibilities:
  • Provide primarily telephonic post-discharge care coordination and management services for members with an emphasis on Altais' full-risk Medicare population.
  • Conduct clinical assessments, educate members and their families/caregivers, and develop and implement individualized care plans.
  • Utilize advanced clinical judgment and critical thinking skills to perform care management duties.
  • Collaborate with inpatient care managers, Referral Services, Population Health, and other internal teams.
  • Engage with primary care providers, specialists, hospitals, skilled nursing facilities, and health plan partners.
  • Participate in health plan and quality audits as needed.
Requirements:
  • RN License (California).
  • Utilization and coordination of care management experience.
  • Epic Experience is preferred.
  • 3 years of experience in a clinical/healthcare environment with demonstrated experience at a professional level in quality improvement/clinical program oversight/project management.
What We Offer:
  • A competitive compensation package that recognizes your experience, credentials, and education.
  • A robust benefits program to meet your needs.
  • The opportunity to work with a dynamic and passionate team.
  • The chance to make a meaningful impact on healthcare outcomes.


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