Registered Nurse, IPA Inpatient Case Manager

AltaMed; Commerce (CA); On-site; USD 94,000 - 114,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings plan with em

Flexible Spending Accounts

Commuter Flexible Spending

Career Advancement & Development

Paid Time Off & Holidays

Paid CME Days

Malpractice insurance and tailcoverage

Tuition Reimbursement Program

Corporate Employee Discounts

Employee Referral Bonus Program

Pet Care Insurance

Job summary

AltaMed seeks an IPA RN Inpatient Case Manager to support daily care coordination, concurrent reviews, and discharge planning for patients in hospital or SNF. The role involves coordinating with IPA clinics and the care team to arrange post-discharge visits and ambulatory management.

You will work within an interdisciplinary team, collaborating with Medical Management to ensure smooth transitions, appropriate utilization, and optimal patient outcomes. Bilingual English/Spanish required.

Qualifications

• Graduation from an accredited nursing program.
• Current valid RN license in CA.
• Bachelor's degree in health or human services preferred.
• Minimum 1 year in public health nursing or case management preferred.
• UM processes experience preferred.
• Experience with data analytics tools like Cozeva or Tableau preferred.
• Bilingual English/Spanish.

Responsibilities

• Coordinate care and concurrent review for patients in hospital or SNF.
• Facilitate discharge planning and post-discharge visits with IPA teams.
• Collaborate with IPA clinics and primary care providers as part of a care team.

Skills

Public health nursing

Case management

Discharge planning

Interdisciplinary collaboration

Bilingual English/Spanish

Utilization Management processes

Data analytics

Education

Bachelor's degree in health or human services

Registered Nurse (CA) license

Tools

Cozeva

Tableau

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The IPA RN Inpatient Case Manager will support daily care coordination with concurrent review for patients in the hospital or Skilled Nursing Facility (SNF) in-person as well as telephonically. This position will also provide case management to patients who are admitted to the hospital or SNF, and those patients who may need to be enrolled in ambulatory case management. Working as part of an interdisciplinary care team in collaboration with the Medical Management Team, the IPA case manager will be responsible for coordinating care, including supporting patient discharge planning (to home, SNF, Long-Term Care Facility, etc.), coordinating with IPA clinics, scheduling post-discharge visits with the IPA Clinical Care Team as well as with the IPA Primary Care Provider.

Minimum Requirements

• Graduation from an accredited nursing program.

• Current valid License as a Registered Nurse through the California Board of Registered Nursing.

• Bachelor's degree in social work, nursing, or another health or human services field with the appropriate licensure preferred.

• Minimum of 1 year of experience in public health nursing, acute care, case management, and/or home health care is preferred.

• Minimum of 1 year of managed care experience in case management with a focus on inpatient and/or outpatient ambulatory care is preferred.

• Experience and familiarity with Utilization Management (UM) standard processes.

• Experience with data analytics software preferred (e.g., Cozeva, Tableau).

• Experience with physically or mentally impaired adults and/or the geriatric population, and working as part of a multi-disciplinary team.

• A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.

• Bilingual: English/Spanish.

Compensation

Pay for this job starts at $104,000.00 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

• Medical, Dental and Vision insurance
• 403(b) Retirement savings plans with employer matching contributions
• Flexible Spending Accounts
• Commuter Flexible Spending
• Career Advancement & Development opportunities
• Paid Time Off & Holidays
• Paid CME Days
• Malpractice insurance and tail coverage
• Tuition Reimbursement Program
• Corporate Employee Discounts
• Employee Referral Bonus Program
• Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.