CA Based & Licensed Nurse Care Manager, Adult

The role

You will guide members through complex medical and behavioral health situations by phone or video. You will build care plans, coordinate with local providers and navigate benefits and resources, working with a remote clinical team.

What you will do

• Deliver coordinated, patient-centered virtual care management by telephone or video that improves members' health outcomes.
• Create care plans together with members and the care team, and help members achieve 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, supporting 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
• Must reside and be based in California
• Active California nursing license
• Willingness to obtain and maintain licensure in multiple states
• Comfortable discussing several medical conditions and working with patients across age ranges
• Experience working remotely and competence using multiple computer and medical record systems
• Empathy for patients and families going through challenging times
• Strict adherence to security and HIPAA regulations
• Ability to gather clinical history, answer patient questions, and summarize findings
• Ability to write medical information in easy-to-understand, patient-centric language

Nice to have

• Spanish speaking
• Experience 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 with multiple plan options, including disability insurance
• Included Health telemedicine and navigation services at no cost for employees and dependents
• 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

• Must reside and be based in California
• Active California nursing license required

About the company

Included Health is a healthcare company delivering integrated virtual care and navigation, offering care guidance, advocacy, and virtual and in-person care across primary, behavioral, and specialty care. It is an equal opportunity employer.