Newborn/Pediatric Nurse Care Manager

Included Health, Inc.; United States; Remoto; USD 75.000 - 105.000; Tempo pieno

Vantaggi offerti da questo lavoro

Remote-first culture

401(k) plan

Medical, vision, dental coverage

Paid time off

Parental leave 12 weeks

Fertility coverage & surrogacy

Volunteer time off

WFH reimbursement

Descrizione del lavoro

Included Health is seeking a Newborn/Pediatric Nurse Care Manager to guide families through complex medical and behavioral health journeys via telephonic and video care, collaborating with a multidisciplinary team to deliver integrated remote care. The role emphasizes empathetic communication and proactive care planning.

The position requires a BSN, a current compact-state RN license (CA license preferred), 5+ years of nursing, and pediatric/care-management experience; ability to work PST hours

Competenze

• BSN required and RN in good standing.
• Active Compact RN license in state of residence; CA license preferred.
• Minimum 5 years of nursing experience; 2+ years pediatric care.
• 2+ years in care, case and disease management; health plan or TPA experience preferred.
• Willing to work until 6pm PST and maintain HIPAA compliance.
• CCM certification is preferred.

Mansioni

• Deliver patient-centered virtual care management by phone or video.
• Create care plans with the member and multidisciplinary team.
• Help navigate medical conditions, treatments, benefits, and the health system.
• Coordinate with local providers for aligned care.
• Provide longitudinal follow-up and compassionate support.
• Support acute episodes with coordinated case management.
• Coordinate resources addressing clinical and social needs.

Conoscenze

BSN

RN license

CA RN license

CCM certification

5+ years experience

Pediatric experience

Remote work experience

Empathy

Communication skills

HIPAA/compliance

EMR systems

Formazione

Bachelor of Science in Nursing (BSN)

Strumenti

EMR systems

Descrizione del lavoro

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 multidisciplinary clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in an innovative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members’ needs, answering questions, and serving as an advocate. They should also excel at creating cohesive care plans, and should possess the clinical acumen 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 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

Required Qualifications

• Bachelor of Science in Nursing (BSN) required.
• Must reside in a compact NLC state.
• Active Compact RN license (in state of residence) in good standing with the nursing board of their state
• Active, unrestricted California RN license preferred
• Willingness to obtain and maintain licensure in multiple states.
• CCM (Certified Case Manager) Certification preferred.
• Minimum of 5 years of nursing experience.
• 2+ years experience working in Pediatric setting
• 2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment
• Be able and willing to work until 6pm PST
• Be comfortable discussing a wide variety of medical conditions
• Experience working remotely preferred; Comfortable with technology.
• Be highly empathetic. We work with patients and their families who are going through challenging times. Ideal candidates practice empathy and reassure patients that we are available to help them.
• Must be able to work efficiently. We are a fast growing company and we are busy. Our team is expected to meet volume goals without sacrificing quality. Good judgment for balancing priorities is a must.
• Be flexible and comfortable with working in a rapidly-changing environment.
• 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.
• Strong verbal and written communication skills. A lot of time is spent on the phone with patients and families, as well as a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and succinctly summarize findings is critical.
• Strong competence and ability to use multiple computer/medical record systems.
• Collaborate well across multidisciplinary teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients.
• Ability to understand cultural and socioeconomic issues affecting members and to coordinate all available resources to serve members.
• Excellent grammar, attention to detail, and efficient at writing medical information in easy-to-understand, patient-centered language.

$74,810 - $104,730 a year

The United States new hire base salary target range for this full-time position is:

$74,810 - $104,730 + equity + benefits

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. Your Recruiter can share your geographic zone alignment upon inquiry.

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 with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.