Remote Nurse Care Manager, Newborn/Peds

Summary

Join our team as a Newborn/Pediatric Nurse Care Manager and help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system. As a telephonic Nurse Care Manager, you will guide members through their healthcare journey, create cohesive care plans, and provide longitudinal follow-up care.

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 preferred
• Must have current CCM Certification
• 5+ years of experience in nursing preferred
• 2+ years experience working in Pediatric setting, preference for Behavioral Health experience

Responsibilities

• Deliver coordinated, patient-centered virtual Care Management by telephone and/or video that improves members’ health outcomes
• Generate impactful care plans together with members and our multidisciplinary 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

Schedule: M-F 9a-6p PST