Nurse Care Manager, Adult

Included Health, Inc.; Northern (KY); Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Remote-first culture

401(k) savings plan

Comprehensive medical, vision, dental

PTO and DTO

12 weeks parental leave

Family Building & Compassionate Leave

WFH reimbursement

Job summary

Included Health, Inc. seeks a Nurse Care Manager to deliver telephonic care management and guide members through complex medical and behavioral health journeys.

You will collaborate with a diverse clinical team to create cohesive care plans, address patient needs, and navigate benefits and resources, ensuring longitudinal care and excellent health outcomes. The role emphasizes remote work, HIPAA compliance, and ongoing licensure expansion across states, with a focus on compassionate,

Qualifications

• BSN degree required and active RN license.
• Minimum 5 years nursing experience with 2+ years in care management.
• Willingness to obtain licensure in multiple states and maintain active licenses.

Responsibilities

• Deliver telephonic/virtual care management to members.
• Create and implement cohesive care plans with the care team.
• Assist members in navigating benefits and healthcare system.
• Coordinate with local providers for coordinated care.
• Provide longitudinal follow-up and support during acute episodes.
• Maintain HIPAA-compliant handling of patient information.

Skills

Empathy

Communication

Clinical reasoning

Education

BSN

5+ years nursing

Tools

EMR systems

Job description

We're looking for Nurse Care Managers for our Care and Case Management team, who 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.

#LI-Remote

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).
• 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 until 9-6PM local time
• 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 20 lbs 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:

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

Benefits & Perks

• 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 atincludedhealth.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.