Pediatric Nurse Care Manager

Included Health; Colorado; Remote; USD 73,700 - 103,180; Full time

Benefits offered by this job

Remote-first culture

Comprehensive medical, vision, and dental coverage

401(k) savings plan

Generous Paid Time Off

12 weeks of Paid Parental leave

Compassionate Leave

Work-From-Home reimbursement

Paid Volunteer Time Off

Job summary

A new healthcare company is searching for a Newborn/Pediatric Nurse Care Manager to provide integrated virtual care and support. This role involves coordinating care and guidance for members facing complex health challenges, ensuring they receive comprehensive and compassionate support. The ideal candidate should have over 5 years of nursing experience, a BSN, and strong communication skills, with a preference for Spanish speakers. The position offers a competitive salary with excellent benefits in a remote-first environment.

Qualifications

• Must have current RN license in good standing.
• 5+ years of nursing experience required.
• Experience in care management for at least 2 years.
• Comfortable discussing various medical conditions.

Responsibilities

• Deliver virtual Care Management to improve health outcomes.
• Create impactful care plans with members and care team.
• Help members navigate complex medical conditions.
• Provide compassionate, longitudinal follow-up care.

Skills

Empathy

Communication skills

Ability to work remotely

Spanish speaking

Education

Bachelor of Science in Nursing (BSN)

Current CCM Certification or eligibility

Tools

Multiple computer/medical record systems

Job description

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 have current CCM Certification or eligibility within 6 months of hire.
• 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 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.

Compensation

The United States new hire base salary target range for this full-time position is:
$73,700 - $103,180 + 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.

Benefits

• 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.

Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.