Included Health

CA Licensed Newborn/Pediatric Nurse Care Manager

Posted on

March 14, 2025

Job Type

Full-Time

Role Type

Care Management

License

RN

State License

Compact / Multi-State

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Company Description

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.

Job Description

We're looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager will guide members through complex Medical and Behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You should also excel at creating cohesive care plans, and should have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes. Schedule: Monday-Friday 9am-6pm PST

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 Willingness to become licensed in multiple states Current CCM Certification or eligibility for CCM exam in August 5+ years Nursing experience 2+ years experience working in Newborn/Pediatric setting Be able and willing to work until shift schedule: Monday- Friday, 9am- 6pm PST Be comfortable discussing several medical conditions Empathetic - We work with patients and their families who are going through challenging times. Strictly follow security and HIPAA regulations 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. Support members with cultural and socioeconomic issues affecting them by coordinating all available resources

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Responsibilities

Deliver coordinated, patient-centered virtual Care Management by telephone and 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

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