CA Based & Licensed Nurse Care Manager, Adult

The role

You will guide members through complex medical and behavioral health situations by phone or video, building care plans and coordinating care with their providers. You will also help members navigate benefits, resources and acute episodes such as hospital stays.

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 their family.
• Coordinate resources that address members' clinical or social problems.

Required qualifications

• Bachelor of Science in Nursing (BSN).
• 5+ years of experience in nursing.
• 2+ years experience working in care management.
• Must reside and be based in California.
• Active California Nursing License.
• Willingness to become and maintain licensure in multiple states.
• Comfortable discussing several medical conditions and experienced with populations across age ranges.
• Experience working remotely, with strong competence using multiple computer and medical record systems.
• Empathetic, and able to follow security and HIPAA regulations.
• Able to gather a clinical history, answer questions at a patient level, and summarize findings.
• Efficient at writing medical information in easy-to-understand, patient-centric language.
• Able to remain seated for prolonged periods and use a keyboard and computer.

Nice to have

• Spanish speaking.

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 products 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 financial 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.
• Must hold an active California nursing license and be willing to obtain licensure in multiple states.

About the company

Included Health is a virtual healthcare company delivering integrated virtual care and navigation. It offers care guidance, advocacy, and access to virtual and in-person care across primary, behavioral, and specialty care.