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Included Health · 6 hours ago

Pediatric Nurse Care Manager

United States

Full-time

Remote

Senior Level

$74K/yr - $103K/yr

5+ years exp

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. They are seeking a Newborn/Pediatric Nurse Care Manager to provide holistic care management for members, guiding them through complex medical and behavioral health situations while ensuring coordinated care and support throughout their healthcare journey.

Health CareHospitalMedicalmHealth

Responsibilities

Deliver coordinated, patient-centered virtual Care Management by telephone and 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

Qualification

Bachelor of Science in NursingCCM Certification5+ years nursing experienceActive Compact RN license2+ years care managementMedical record systemsEmpathySpanish speakingCommunication skills

Required

Bachelor of Science in Nursing (BSN)

Must have current CCM Certification or eligibility within 6 months of hire

5+ years of experience in nursing

2+ years experience working in care management

Must reside in a compact NLC state

Active Compact RN license in good standing with the nursing board of their state

Willingness to become (and maintain) licensure in multiple states

Work 9AM-6pm PST (Preference for those based in MST/PST time zones)

Be comfortable discussing several medical conditions and experience with populations across the age ranges

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

Preferred

Spanish speaking desirable

Benefits

Remote-first culture

401(k) savings plan through Fidelity

Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered 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 & Adoption financial assistance

Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment)

11 Holidays Paid with one Floating Paid Holiday

Work-From-Home reimbursement to support team collaboration and effective home office work

24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations