Registered Nurse, IPA Inpatient Case Manager

AltaMed Health Services Corporation; Commerce, Northern (CA, KY); Hybrid; USD 94,000 - 114,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

403(b) Retirement savings with company

Flexible Spending Accounts

Career advancement opportunities

Paid Time Off & Holidays

Paid CME Days

Malpractice insurance and tail tail

Tuition Reimbursement Program

Employee Discounts

Pet Care Insurance

Job summary

AltaMed Health Services Corporation in California seeks an IPA RN Inpatient Case Manager to coordinate hospital and SNF care, perform concurrent reviews, and enroll patients in ambulatory case management. You will work with the Medical Management Team and IPA clinics to arrange discharge planning and post-discharge visits.

The role requires an accredited nursing degree with California RN license, 1 year in public health nursing or case management, and BLS or higher.

Qualifications

• Graduate from an accredited nursing program and CA RN license.
• Bachelor’s degree in health field preferred; CA licensure.
• Minimum 1 year in public health nursing, acute care, case management or home health.
• 1 year managed care case management experience preferred.
• Experience with Utilization Management (UM) processes.
• Experience with data analytics software (Cozeva, Tableau).
• Minimum BLS certification or higher per AHA/Red Cross.
• Bilingual: English/Spanish.

Responsibilities

• Coordinate care for hospital/SNF patients with concurrent review.
• Provide case management for admitted patients and ambulatory needs.
• Support discharge planning to home, SNF, or long-term care.
• Coordinate post-discharge visits with IPA clinics and care team.

Skills

Public health nursing

Case management

Discharge planning

Team collaboration

Bilingual English/Spanish

Education

Bachelor's degree in nursing or health field

Licensed Registered Nurse (CA)

Tools

Cozeva

Tableau

UM software

Data analytics software

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.

As the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients.

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.

AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation. We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact.