Remote Pediatric Nurse Care Manager — Holistic Care

Included Health; United States; Remote; USD 74,000 - 103,000; Full time

Benefits offered by this job

Remote-first culture

401(k) plan

Comprehensive medical, vision and dent

PTO/DTO

12 weeks parental leave

Fertility support

Volunteer time off

Job summary

Included Health is seeking a Newborn/Pediatric Nurse Care Manager to guide members through complex medical and behavioral health needs via phone and video, delivering integrated remote care with a diverse clinical team.

The role emphasizes creating cohesive care plans, advocating for patients, and ensuring access to benefits and resources, with a focus on compassionate, longitudinal care and HIPAA compliance.

Qualifications

• BSN required.
• CCM Certification or eligibility within 6 months of hire.
• 5+ years of nursing experience.
• 2+ years in care management.
• Must reside in a compact NLC state.
• Active RN license in good standing.
• Willingness to obtain licensure in multiple states.
• Ability to work 9AM-6PM PST (MST/PST time zones preferred).
• Experience with patients across age ranges; Spanish desirable.
• Remote work experience with multiple systems.

Responsibilities

• Deliver coordinated, patient-centered virtual Care Management by telephone and video.
• Create cohesive care plans with members and team, helping achieve goals.
• Help members navigate medical conditions, pathways, benefits, and the healthcare system.
• Partner with members' local providers to coordinate care.
• Provide compassionate, longitudinal follow-up care.
• Assist through acute healthcare episodes with case management.
• Coordinate resources to address clinical or social needs.

Education

BSN

Tools

EMR systems

Care coordination tools

Job description

Included Health is seeking a Newborn/Pediatric Nurse Care Manager to guide members through complex medical and behavioral health needs via phone and video, delivering integrated remote care with a diverse clinical team.

The role emphasizes creating cohesive care plans, advocating for patients, and ensuring access to benefits and resources, with a focus on compassionate, longitudinal care and HIPAA compliance.