Inpatient Care Manager, RN

About Our Company

At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical community. At Altais, we're building breakthrough clinical support tools, technology, and services to let doctors do what they do best: care for people. We invite you to join our growing passionate team as we change the game for the future of healthcare and enable the experience that people need and deserve. Altais family of companies include Brown & Toland Physicians, Family Care Specialists and Altais Medical Groups.

About Your Team

Are you looking to work with a high performing, fast growing and dynamic Inpatient Care Management team? We are 4,000+ physicians, working in over 40 cities throughout California, caring for more than 500,000 patients. If you are passionate about reshaping healthcare and want to work for a mission driven organization where new ideas and innovation are valued, then we would like to meet you.

About Your Work

Join our clinically strong and cohesive-always collaborative and supportive- Inpatient Care Management team as an Inpatient Care Manager RN, where you'll grow and thrive in a setting that encourages bold thinking, curious learning and co-creation. Your work is guided by compassion, integrity and accountability. Your role will involve the initial and concurrent utilization review, discharge planning, coordination of care and referrals for hospitalized members. You will collaborate with physicians, the care team and our Medical Directors to ensure the patient is at the right place, the right level of care, and at the right time-and you will assess, coordinate and implement care plans to ensure the patient's needs are met across the continuum of care - targeting optimal experience, outcomes and cost.

As an Inpatient Care Manager RN, you'll establish relationships and foster respect and rapport with our Health Management Operations and Health Value Teams and will work closely with our Provider Partners from the health care team responsible for the management and coordination for our 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 as well as provider experience.

Your focus will be on:

• 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.
• Bachelor of Science- Nursing preferred.
• Current unrestricted California RN licensure require.
• 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 & Values

• You are passionate about improving the healthcare experience and want to be part of the Altais 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 are 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.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate's starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate's qualifications, skills, experience, and geographic location. This base pay range is specific to California and can vary based on Bay Area, Metro LA, and Greater California regions which may not be applicable to other locations.

Altais 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 Requirements:

Office 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.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws.