Behavioral Health/Substance Use Nurse Care Manager, Adult

Summary

Join Included Health's Care and Case Management team as a Nurse Care Manager, providing holistic, telephonic care to members with behavioral health and substance abuse needs. You will guide members through complex situations, create care plans, and partner with a diverse clinical team. This role requires experience with complex psychiatric and substance abuse disorders, strong communication skills, and the ability to navigate healthcare benefits and resources. You will provide longitudinal care, support members through acute episodes, and coordinate necessary resources. The position offers a remote-first culture and a competitive compensation package.

Requirements

• Bachelor of Science in Nursing (BSN)
• Current CCM required
• 5+ years of experience in nursing
• 2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment
• 2+ years experience working in Behavioral Health and or substance use field
• Must reside in a compact NLC state
• 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
• 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
• 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

• Active California Nursing License preferred
• Spanish speaking desirable

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