Licensed Nurse Care Manager

Summary

Join Included Health's Care and Case Management team as a Nurse Care Manager! This remote position requires a UT and CA RN license, experience with health plans, and a passion for holistic member care. You will deliver virtual care management via telephone and video, create care plans, and guide members through complex medical situations. You'll partner with a diverse clinical team and advocate for members' needs. Success requires strong clinical skills, excellent communication, and the ability to navigate benefits and resources. This role offers a competitive salary and comprehensive benefits package.

Requirements

• Bachelor of Science in Nursing (BSN)
• Must have current CCM Certification or eligibility to sit for exam in August 2025
• 5+ years of experience in nursing
• 2+ years experience working in care management
• 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
• Willingness to become (and maintain) licensure in multiple states
• Work until 6pm PST (Preference for those based in MST/PST time zones)
• 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 20lbs 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