The role involves delivering coordinated, patient-centered virtual Care Management via telephone or video to improve member health outcomes, and creating impactful care plans with members and the care team to help them achieve desired goals. Responsibilities also include assisting members through acute healthcare episodes like hospitalizations and coordinating resources that holistically address clinical or social problems.
Requirements summary
Candidates must possess a Bachelor of Science in Nursing (BSN) and a current CCM certification, along with a minimum of 5 years of nursing experience, including 2 years in care/case/disease management and 2 years in Behavioral Health or substance use fields. Applicants must reside in a compact NLC state, hold an active Compact RN license, and be willing to maintain licensure in multiple states.
bachelor degreeCare PlanningHIPAA ComplianceEmpathyPatient CommunicationBehavioral HealthDisease ManagementSubstance Abuse DisordersLongitudinal CareProvider CoordinationSubstance Use Disorder ManagementTelephonic Care ManagementBenefits NavigationVirtual Care ManagementClinical History GatheringAcute Case ManagementComplex Psychiatric Disorders
Job description
We're looking for Nurse Care Managers for our Care and Case Management team, who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way.
This role focuses specifically on members with behavioral health and substance abuse or substance abuse disorder needs, requiring experience with complex psychiatric and substance abuse disorders. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.
#LI-Remote
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Responsibilities
Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
Partner with the members' local providers to ensure coordinated care.
Provide compassionate, longitudinal follow-up care, building supportive relationships.
Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
Coordinate necessary resources that holistically address members' problems, whether clinical or social
Qualifications
Bachelor of Science in Nursing (BSN).
Current CCM required
5+ years of experience in nursing
2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment.
Benefits
Paid Time Off
Medical coverage
Disability insurance
Vision coverage
Dental coverage
Discretionary Time Off
401k savings plan
Paid Parental leave
Work-From-Home reimbursement
Family Building & Compassionate Leave
2+ years experience working in Behavioral Health and or substance use field
Must reside in a compact NLC state.
Active Compact RN license in good standing with the nursing board of their state.
Active California Nursing License preferred.
Willingness to become (and maintain) licensure in multiple states.
Work until 9-6PM PST
Be comfortable discussing several medical conditions and experience with populations across the age ranges
Spanish speaking desirable
Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.
Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.
We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
Strictly follow security and HIPAA regulations to protect our patients' medical information.
Be pleasant, responsive, and willing to work with and learn from our team.
A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
Efficient at writing medical information in easy-to-understand, patient-centric language.
Physical/Cognitive Requirements
Prompt and regular attendance at assigned work location.
Capability to remain seated in a stationary position for prolonged periods.
Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer \/ laptop) may be required.
Capability to work with leadership, employees, and members in an appropriate manner.
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The United States new hire base salary target range for this full-time position is:
$73,700 - $103,180 + equity + benefits
This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
Starting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure that all employees receive fair and great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.
Benefits: & Perks:
In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:
Remote-first culture
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
12 weeks of 100% Paid Parental leave
Family Building & Compassionate Leave
Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
Work-From-Home reimbursement to support team collaboration home office work
Your recruiter will share more about the salary range and benefits package for your role during the hiring process.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation.
We’re on a mission to raise the standard of healthcare for everyone.
We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical.
We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
