Nurse Case Manager, High Risk

Company: AltaMed Health Services
Location: Montebello
Posted on: May 23, 2025

Job Description:

Grow HealthyIf 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 OverviewThe Case Manager, High Risk position is responsible for medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring, and evaluating). Functions include providing health education, coaching, and disease management activities. The Case Manager (High Risk) would be responsible for managing competing priorities which could range from securing, coordinating, and authorizing skilled nursing services timely, review hospice or nursing progress notes routinely and provide direction as to ongoing need for continued services, completing initial assessment for newly enrolled hospitalized members, conducting home visits to evaluate for post hospitalization needs. Home visits may be completed independently or jointly with the Transition of Care (TOC) case management team. This position focuses on improving care coordination between the member, their physicians, and caregivers. The purpose of this special approach to case management is to help reduce health care costs by coordinating, authorizing, and monitoring skilled nursing services. The Case Manager (High Risk) serves as an advocate and assists members to reach optimal function and health in an appropriate environment that supports their needs.Minimum Requirements

• Unrestricted California nurse license (i.e., RN or LVN).
• A bachelor's degree in Human Services or a related field is preferred.
• Minimum of 2 years of experience in managed care required.
• Minimum of 3 years of experience in a hospital, acute care, or direct care setting.
• Case management, utilization review, concurrent review, discharge planning, or risk management experience.
• Knowledge and experience with Medicare/Medicaid programs.
• Essential Job Functions of the Job Description
• A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.Compensation$32.32 - $40.41 hourlyCompensation DisclaimerActual 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 InsuranceJob Advertisement & Application Compliance StatementAltaMed 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.

Keywords: AltaMed Health Services, Los Angeles , Nurse Case Manager, High Risk, Executive , Montebello, California