[Hiring] Pediatric Nurse Care Manager @Included Health
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role 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.
- 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.
Qualifications
- Bachelor of Science in Nursing (BSN).
- Must have current CCM Certification or eligibility within 6 months of hire.
- 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.
- Willingness to become (and maintain) licensure in multiple states.
- Work 9AM-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.
- 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.
- 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.
- Efficient at writing medical information in easy-to-understand, patient-centric language.
Requirements
- The United States new hire base salary target range for this full-time position is: $73,700 - $103,180 + equity + benefits.
- Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate.
- Compensation structures and ranges are tailored to each zone's unique market conditions.
Benefits
- Remote-first culture.
- 401(k) savings plan through Fidelity.
- Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance).
- Full suite of Included Health telemedicine and health care navigation products and services offered at no cost for employees and dependents.
- Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO").
- 12 weeks of 100% Paid Parental leave.
- Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance.
- Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment).
- 11 Holidays Paid with one Floating Paid Holiday.
- Work-From-Home reimbursement to support team collaboration and effective home office work.
- 24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations.
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. Apply tot his job Apply To this Job