CA Based Newborn/Pediatric Nurse Care Manager

Included Health; Fresno (CA); Remote; Full time

Job summary

An innovative healthcare company is seeking a dedicated Newborn/Pediatric Nurse Care Manager to join their Care and Case Management team. This role involves guiding members through complex medical and behavioral health situations while advocating for their needs. The ideal candidate will excel in creating cohesive care plans and possess strong clinical skills to navigate available benefits and resources. With a focus on delivering integrated remote care, this position offers the opportunity to make a significant impact on members' health outcomes. Join a forward-thinking organization committed to raising the standard of healthcare for everyone.

Benefits

401(k) savings plan

Comprehensive medical, vision, and dental coverage

Generous Paid Time Off (PTO)

12 weeks of 100% Paid Parental leave

Family Building Benefit

Compassionate Leave

Work-From-Home reimbursement

24 hours of Paid Volunteer Time Off (VTO)

Qualifications

• 5+ years of nursing experience, especially in pediatric settings.
• Active RN license in California and willingness to work across states.

Responsibilities

• Deliver coordinated, patient-centered virtual care management.
• Create impactful care plans and help members navigate healthcare.

Skills

Nursing experience

Patient advocacy

Care plan development

Communication skills

Empathy

HIPAA compliance

Team collaboration

Education

Bachelor of Science in Nursing (BSN)

Tools

Electronic medical record systems

Job description

CA Based Newborn/Pediatric Nurse Care Manager

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

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.

Required Qualifications

• 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 to sit for exam in August 2025.
• 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.

The United States new hire hourly salary target range for this full-time position is: $35.43 - $50 per hour + equity + benefits.

This range reflects the minimum and maximum target for new hire salaries for candidates. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.

Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, education; training; skill set; years and depth of experience; certifications and licensure; business needs; internal peer equity; organizational considerations; and alignment with geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and competitive compensation based on their roles and locations.

In addition to receiving a competitive base salary, the compensation package may include, depending on the role, the following:

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 (e.g. behavioral health, urgent care, etc.) 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.

About Included Health

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.

Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants in accordance with the San Francisco Fair Chance Ordinance.