CA Licensed- Nurse Care Manager, CCM

Job Summary:Are you a passionate Nurse Care Manager with oncology experience and a background in care and case management? Do you have experience working with a health plan, health navigator, or third-party administrator (TPA)? If so, we'd love to have you on our Care and Case Management team!As a telephonic Nurse Care Manager, you will report to the Manager, Care and Case Management; you'll be at the heart of our integrated care model, helping members navigate complex medical and behavioral health situations. You'll collaborate with a diverse clinical team—including healthcare professionals, care coordinators, and records specialists—to ensure members receive seamless, integrated support.You'll spend your time on the phone, listening to members, answering their questions, and advocating for their needs. Your expertise in care planning and clinical navigation will help members make informed decisions about their health, access benefits, and connect with essential resources. Through complex care management, disease management, and acute case management, you'll provide longitudinal care that leads to outstanding health outcomes.If you're looking for a meaningful role where you can make a real difference in members' lives—while working in a virtual healthcare environment—this is the opportunity for you!

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).
• CCM Certification (or eligible to sit for exam within 6 months of hire)
• 3 years of experience in nursing
• 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
• Willingness to become (and maintain) licensure in multiple states.
• Work until 6pm PST (Preference for those based in MST/PST time zones)
• Experience with technology and an understanding of digital tools and EMR platforms
• Strong empathy and commitment to patient-centered care.
• Meet volume goals while maintaining quality standards.
• Flexibility and comfort in an evolving environment.
• Strictly follow security and HIPAA regulations to protect our patients' medical information.
• Ability to translate medical information into clear, accessible, and patient-friendly 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.

Pay & Benefits:The United States new hire base salary target ranges for this full-time position are:Zone A: Min: $66,850.00 - $93,590 + equity + benefitsZone B: Min: $76,878.00 - $99,940 + equity + benefitsZone C: Min: $83,563.00 - $108,630 + equity + benefitsZone D: Min: $86,905.00 - $112,980 + equity + benefitsThis 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 culture401(k) savings plan through FidelityComprehensive 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 leaveFamily 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 workYour 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. It's all included. Learn more at includedhealth.com.
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 in accordance with the San Francisco Fair Chance Ordinance.
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. It’s all included. Learn more at includedhealth.com.
-----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 in accordance with the San Francisco Fair Chance Ordinance. Apply