CA Based & Licensed Nurse Care Manager, Adult

The role

You will guide members through complex medical and behavioral health situations by phone or video, creating care plans and coordinating benefits, resources and local providers. The role is telephonic and remote, with a focus on longitudinal care, disease management and acute case management.

What you will do

• Deliver coordinated, patient-centered virtual care management by telephone or video.
• Create care plans together with members and the care team to reach their goals.
• Help members navigate complex medical conditions, treatment pathways, benefits and the healthcare system.
• Partner with members' local providers to ensure coordinated care.
• Provide compassionate, longitudinal follow-up care and build supportive relationships.
• Assist during acute episodes such as hospitalizations and rehabilitation stays, coordinating case management for the member and family.
• Coordinate resources that address members' clinical and social problems.

Required qualifications

• Bachelor of Science in Nursing (BSN).
• 5+ years of experience in nursing.
• 2+ years of experience in care management.
• Active California nursing license (RN).
• Must reside and be based in California.
• Willingness to obtain and maintain licensure in multiple states.
• Comfortable discussing several medical conditions and working with patients across age ranges.
• Experience working remotely, with strong ability to use multiple computer and medical record systems.
• Empathetic, pleasant, responsive and willing to learn from the team.
• Ability to gather clinical history, answer patient questions and summarize findings.
• Efficient at writing medical information in easy-to-understand, patient-centric language.
• Strict adherence to security and HIPAA regulations.

Nice to have

• Spanish speaking.
• Experience working with a health plan, health navigator or third-party administrator (TPA).

Benefits

• Remote-first culture.
• 401(k) savings plan through Fidelity.
• Medical, vision and dental coverage through multiple plan options, including disability insurance.
• Included Health telemedicine and navigation services 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 and adoption assistance.
• Compassionate Leave for failed pregnancy, surrogacy, adoption or fertility treatment.
• 11 paid holidays plus one floating paid holiday.
• Work-from-home reimbursement.
• 24 hours of paid volunteer time off per year.

Before you apply

• Candidates must reside and be based in California.
• Must hold an active California RN license.

About the company

Included Health is a virtual care and navigation company focused on raising the standard of healthcare, covering everyday, urgent, primary, behavioral and specialty care. It is an Equal Opportunity Employer.