Newborn/Pediatric Nurse Care Manager

The role

You will guide members through complex medical and behavioral health situations by phone or video. You will build care plans with members and a multidisciplinary team, and help them navigate benefits and resources.

What you will do

• Deliver coordinated, patient-centered virtual care management by telephone and/or video.
• Create care plans with members and the multidisciplinary care team.
• 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, supporting the member and family.
• Coordinate resources that address members' clinical and social problems.

Required qualifications

• Bachelor of Science in Nursing (BSN).
• Must reside in a compact NLC state.
• Active Compact RN license in state of residence, in good standing.
• Willingness to obtain and maintain licensure in multiple states.
• Minimum of 5 years of nursing experience.
• 2+ years of experience in a pediatric setting.
• 2+ years of experience in care, case and disease management, preferably in a health plan, health navigator or TPA environment.
• Able and willing to work until 6pm PST.
• Comfortable discussing a wide variety of medical conditions.
• Highly empathetic.
• Able to work efficiently and meet volume goals without sacrificing quality.
• Flexible in a rapidly-changing environment.

Nice to have

• Active, unrestricted California RN license.
• CCM (Certified Case Manager) certification.
• Experience working remotely.
• Comfortable with technology.

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 and Discretionary Time Off.
• 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

• Must reside in a compact NLC state.
• Must be willing to obtain and maintain licensure in multiple states.
• Must be able to work until 6pm PST.

About the company

Included Health is a healthcare company delivering integrated virtual care and navigation. It aims to provide high-quality care for every person in every community.