Inpatient Care Manager RN
6 days ago
At Altais, Inc., we're driven by a passion for revolutionizing healthcare experiences and transforming the healthcare system for physicians, advanced care providers, patients, and the clinical community. Our mission is to empower clinicians and innovators to create breakthrough clinical support tools, technology, and services that enable doctors to focus on what they do best: caring for people.
About Your TeamWe're a high-performing, fast-growing, and dynamic Inpatient Care Management team, part of a 4,000+ physician-strong organization operating in over 40 cities throughout California, serving more than 500,000 patients. If you're passionate about reshaping healthcare and want to work for a mission-driven organization that values innovation and new ideas, we'd love to meet you.
About Your WorkAs an Inpatient Care Manager RN, you'll join our clinically strong and cohesive team, where collaboration, support, and bold thinking thrive. Your work will be guided by compassion, integrity, and accountability. You'll be responsible for 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 place, and at the right time. Your role 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.
Key Responsibilities- Conduct 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.
- Monitor and continually assess and evaluate member severity of illness, intensity of services, and response to treatment, making recommendations for continued stay, transition to lower level/tertiary care, and coordinate member transitions.
- Apply clinical knowledge, critical thinking skills, and solutions-oriented problem-solving and strong decision-making approaches.
- Working knowledge and application of utilization management standards, medical necessity criteria, involving 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.
- 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 record.
- Development of collaborative relationships and work with Providers, fostering a shared vision and values.
- Bachelor of Science in Nursing 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 anticipated pay range for this role is listed in our salary posting for transparency, but may vary based on factors including your qualifications, skills, and experience.
Altais, Inc. and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our 'CPRA Privacy Notice for California Employees and Applicants' to learn how we collect and process your personal information when you apply for a role with us.
Physical RequirementsOffice 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.
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