Outpatient Care Management, Lead (RN or LVN)

At Altais, we're looking for bold and curious innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, 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 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

As the RN/LVN Lead, you will be a subject matter expert and the first level escalation for the Outpatient Care Management team. The Clinical Lead participates in special projects and workgroups at the direction of the department manager. This individual possesses excellent verbal and written communication skills. The Lead maintains a small caseload and is responsible for SNP Complex Case Management and Complex Case Management activities including Transition of Care.

You will focus on:

• Clinical decision support of Outpatient team members, by training, auditing, assisting with complex case review and decision making.
• Provide case management activities across the continuum of care in order to facilitate and promote high-quality, cost-effective outcomes.
• Assist in the development, implementation and evaluation of care standards, policies, procedures and protocols to improve Care Management across the care continuum.
• Participate in employee training/orientation and mentoring of team members as indicated.
• Assigns and or covers for Care manager PTO/open positions.
• Research issues to facilitate objective medical management decisions based upon approved criteria, standards and guidelines

The Skills, Experience & Education You Bring

• Demonstrates strong ability to effectively apply, interpret, and communicate policies, procedures, clinical guidelines, medical policy, regulations, and standards.
• Demonstrates excellent verbal and written communication skills.
• Ability to read and understand medical records and extract data pertinent to the creation of a transition of care/case management care plan.
• Demonstrates strong ability to effectively cope with stressful situations, manage multiple, and sometimes conflicting priorities simultaneously
• Demonstrates strong ability in educating and training clinical and non-clinical staff.
• Demonstrates strong working knowledge of managed care concepts, Medicare/Medi-Cal Guidelines.
• Demonstrates working knowledge in Microsoft Suites.
• Required: LVN Degree
• Preferred: Bachelor of Science in Nursing or Master of Science in Nursing
• Preferred: Five (5) or more years recent Case Management leadership experience in a Health Plan, IPA or Managed Care Setting
• Preferred: 3 years’ experience in EPIC software

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.