Licensed Infertility Maternity Nurse Care Manager

Summary

Join Included Health's Care and Case Management team as an Infertility/Maternity Nurse Care Manager. This remote-first role requires a CCM certification and active RN licenses in California and a compact NLC state. You will provide telephonic care management, creating personalized care plans and guiding members through complex infertility and maternity scenarios. Responsibilities include delivering virtual care, collaborating with providers, and advocating for members. The ideal candidate possesses strong clinical skills, empathy, and experience in case management and labor and delivery. Included Health offers a competitive salary, comprehensive benefits, and a supportive work environment.

Requirements

• Bachelor of Science in Nursing (BSN)
• Must reside in a compact NLC state
• Active Compact RN license in good standing with the nursing board of their state
• Active California Nursing License required
• Willingness to become licensed in multiple states
• Must have current CCM Certification or eligibility to sit exam in August 2025
• 3 years of experience in nursing
• 2+ years experience working in care, case and disease management
• 2+ years experience working in labor and delivery
• 2+ years experience working in infertility
• Be comfortable discussing different medical conditions
• Meet volume goals while maintaining quality standards
• Flexibility and comfort in an evolving environment
• 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
• Strong competence and ability to use multiple computer/medical record systems
• Collaborate well across diverse teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients
• Understand cultural and socioeconomic issues affecting members and to coordinate all available resources to serve members
• Translate medical information into clear, accessible, and patient-friendly language
• Strict adherence to security and HIPAA regulations
• 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 messaging that improves members' health outcomes
• Create impactful care plans together with members and our diverse care team, and help members achieve their 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

Preferred Qualifications

• Spanish speaking desirable
• Experience with technology and an understanding of digital tools and EMR platforms
• Strong empathy and commitment to patient-centered care

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