Nurse Care Manager, Adult

Included Health, Inc.; Denver (CO); On-site; USD 73,000 - 104,000; Full time

Job summary

An innovative healthcare company is seeking passionate Nurse Care Managers to join their Care and Case Management team. This role involves guiding members through complex medical and behavioral health situations, ensuring they receive integrated remote care. The ideal candidate will excel in creating cohesive care plans and possess strong clinical skills to navigate available benefits. With a commitment to holistic member care, this position offers the opportunity to make a significant impact on patients' health outcomes while working in a supportive and collaborative environment. Join a forward-thinking team dedicated to transforming healthcare delivery and improving lives.

Benefits

Remote-first culture

401(k) savings plan

Comprehensive medical, vision, and dental coverage

Generous Paid Time Off

12 weeks of Paid Parental leave

Family Building Benefit

Compassionate Leave

11 Holidays Paid

Work-From-Home reimbursement

24 hours of Paid Volunteer Time Off

Qualifications

• 5+ years of nursing experience with 2+ years in care management.
• Must have active California RN license and CCM certification eligibility.

Responsibilities

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

Skills

Nursing

Care Management

Empathy

Communication Skills

Spanish Speaking

Education

Bachelor of Science in Nursing (BSN)

CCM Certification

Tools

Computer/Medical Record Systems

Job description

We're looking for California Licensed Nurse Care Managers for our Care and Case Management team, who resides in California and holds 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 or eligibility for exam in August 2025.
• 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 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. 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 range for this full-time position is:

$73,700 - $103,180 + 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.

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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.