Behavioral Health Substance Use Nurse Care Manager

Summary

Join Included Health's Care and Case Management team as a Nurse Care Manager! This remote role focuses on providing telephonic care to members with behavioral health and substance abuse needs. You will create care plans, guide members through complex situations, and partner with a diverse clinical team. Experience with complex psychiatric and substance abuse disorders is essential. The ideal candidate enjoys phone interactions, possesses strong clinical skills, and excels at navigating healthcare benefits and resources. You will ensure members receive longitudinal care resulting in excellent health outcomes. This position offers a competitive salary and benefits package.

Requirements

• Bachelor of Science in Nursing (BSN)
• 5+ years of experience in nursing
• 2+ years experience working in care management
• 2+ years experience working in Behavioral Health and or substance use field
• 2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment
• Must reside in a compact NLC state (Florida)
• Active Compact RN license in good standing with the nursing board of their state
• Willingness to become (and maintain) licensure in multiple states
• Work until 9-6PM Local Time
• Be comfortable discussing several medical conditions and experience with populations across the age ranges
• Strictly follow security and HIPAA regulations to protect our patients' medical information
• Be pleasant, responsive, and willing to work with and learn from our team
• A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical
• Efficient at writing medical information in easy-to-understand, patient-centric language
• Prompt and regular attendance at assigned work location
• Capability to remain seated in a stationary position for prolonged periods
• Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment
• No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer / laptop) may be required
• Capability to work with leadership, employees, and members in an appropriate manner

Responsibilities

• Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes
• Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals
• Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general
• Partner with the members' local providers to ensure coordinated care
• Provide compassionate, longitudinal follow-up care, building supportive relationships
• Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family
• Coordinate necessary resources that holistically address members' problems, whether clinical or social

Preferred Qualifications

• Spanish speaking desirable
• Experience working remotely, and strong competence and ability to use multiple computer/medical record systems
• Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them
• We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality

Benefits

• Remote-first culture
• 401(k) savings plan through Fidelity
• Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
• Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
• 12 weeks of 100% Paid Parental leave
• Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies
• Work-From-Home reimbursement to support team collaboration home office work