Nurse Care Manager, CCM

Summary

Join Included Health's Care and Case Management team as a telephonic Nurse Care Manager! In this virtual role, you will provide coordinated, patient-centered care, creating care plans and helping members navigate complex medical situations. You will collaborate with a diverse clinical team and partner with members' providers to ensure seamless care. Your expertise in care planning and clinical navigation will be crucial in helping members make informed decisions and access necessary resources. This is a meaningful opportunity to make a real difference in people's lives while working remotely. The role requires a BSN, CCM certification (or eligibility), and 3 years of nursing experience. Competitive salary and benefits are offered.

Requirements

• Bachelor of Science in Nursing (BSN)
• CCM Certification (or eligible to sit for exam within 6 months of hire)
• 3 years of experience in nursing
• 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)
• Experience with technology and an understanding of digital tools and EMR platforms
• Strong empathy and commitment to patient-centered care
• 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
• Ability to translate medical information into clear, accessible, and patient-friendly 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

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