CA Licensed Nurse Care Manager, Adult

Included Health; United States; Remote; USD 66,000 - 113,000; Full time

Job summary

Join a forward-thinking healthcare company as a Nurse Care Manager, where you'll play a vital role in delivering integrated virtual care. This position focuses on guiding members through complex medical and behavioral health situations, ensuring they receive the support they need throughout their healthcare journey. You'll collaborate with a diverse clinical team, develop cohesive care plans, and advocate for members while navigating the healthcare system. If you are passionate about holistic care and thrive in a remote-first environment, this opportunity offers a chance to make a real difference in people's lives while enjoying a comprehensive benefits package.

Benefits

Remote-first culture

401(k) savings plan

Comprehensive medical coverage

Paid Time Off (PTO)

12 weeks of Paid Parental leave

Work-From-Home reimbursement

Qualifications

• 5+ years of nursing experience with 2+ years in care management.
• Must hold active RN licenses in multiple states.

Responsibilities

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

Skills

Nursing

Care Management

Empathy

Communication

Spanish Speaking

Education

Bachelor of Science in Nursing (BSN)

CCM Certification

Tools

Electronic Medical Records (EMR)

Telehealth Platforms

Job description

6 days ago Be among the first 25 applicants

We're looking for Nurse Care Managers for our Care and Case Management team, who hold a UT Compact RN license and also a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and 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 will excel at creating cohesive care plans, and 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.

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.

Qualifications

• Bachelor of Science in Nursing (BSN).
• Must have current CCM Certification.
• 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.
• 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).
• 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. You practice empathy and reassure patients that we are available to help them.
• We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
• 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. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
• Efficient at writing medical information in easy-to-understand, patient-centric language.

Physical/Cognitive Requirements

• 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 20lbs of force (e.g., lifting a computer/laptop) may be required.
• Capability to work with leadership, employees, and members in an appropriate manner.

The United States new hire base salary target ranges for this full-time position are:

Zone A: Min: $66,850.00 - $86,910 + equity + benefits
Zone B: Min: $76,878.00 - $99,940 + equity + benefits
Zone C: Min: $83,563.00 - $108,630 + equity + benefits
Zone D: Min: $86,905.00 - $112,980 + equity + benefits

This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. 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 you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of 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 great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.

Benefits & Perks
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:

• 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

Your recruiter will share more about the salary range and benefits package for your role during the hiring process.

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.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Health Care Provider
• Industries
• Hospitals and Health Care