Inpatient Care Manager, RN

Join a collaborative and purpose-driven Inpatient Care Management team dedicated to improving the healthcare experience for physicians and their patients. This role supports hospitalized members through utilization review, care coordination, and discharge planning to ensure patients receive care at the appropriate level and at the right time.

The Inpatient Care Manager works closely with physicians, care teams, and Medical Directors to assess, coordinate, and implement care plans across the continuum of care. This position focuses on optimizing patient experience, outcomes, and cost while supporting members during periods when they are most vulnerable. You will build strong relationships with Health Management Operations, Health Value Teams, and provider partners to support the management and coordination of care for hospitalized members at risk.

What You Will Do:

• Conduct initial and concurrent utilization reviews for hospitalized members using evidence-based criteria and clinical expertise.
• Coordinate discharge planning and care transitions to ensure appropriate admissions, level of care, and timely discharges.
• Monitor and evaluate severity of illness, intensity of services, and patient response to treatment.
• Make recommendations for continued stay, transition to lower levels of care, or tertiary care when appropriate.
• Collaborate with physicians, care teams, and Medical Directors to support appropriate care coordination.
• Coordinate member transitions and referrals across the continuum of care.
• Apply clinical knowledge, critical thinking, and strong decision-making skills to support patient care and care management goals.

You Will Be Successful If:

• You demonstrate strong clinical judgment and critical thinking in utilization review and care coordination.
• You are committed to patient-centered care and improving patient and provider experience.
• You communicate effectively with internal teams and external healthcare partners.
• You build collaborative relationships with physicians and providers to support shared goals and values.
• You approach challenges with a solutions-oriented mindset and strong problem-solving skills.

What You Will Bring:

• Current unrestricted California RN license required.
• Minimum of 3 to 5 years of recent acute care, hospital, or related clinical experience.
• Working knowledge of utilization management standards and medical necessity criteria.
• Ability to organize, extract, and analyze clinical data from medical records using nationally recognized evidence-based treatment standards.
• Strong written and verbal communication skills to support patient advocacy, accurate documentation, and care coordination.
• Ability to develop collaborative relationships with providers and care teams.
• Bachelor of Science in Nursing preferred.
• Proficiency with computer systems including EMR and Microsoft Office Suite.
• Experience with managed care concepts and practices preferred.

About Impresiv Health:

Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.

That’s Impresiv!