Nurse Care Manager, Adult
Remote
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).
- Must have current CCM Certification
- 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.
- Active California Nursing License is sought out
- Willingness to become (and maintain) licensure in multiple states.
- Work until 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
- 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.
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
Job Profile
RestrictionsActive compact RN license required Must reside in a compact NLC state Willingness to maintain licensure in multiple states
Benefits/PerksBenefits Compassionate Leave Equity Healthcare Opportunity for growth Remote work Supportive team environment Work-From-Home reimbursement
Tasks- Assist during acute healthcare episodes
- Coordinate resources
- Coordinate with local providers
- Create care plans
- Deliver virtual care management
- Navigate healthcare system
- Provide follow-up care
Acute case management Advocacy Behavioral health Care Coordination Care management Case Management Clinical Collaboration Communication Computer Disease Management Empathy Excel Healthcare HIPAA Compliance In-person care Leadership Management Manual Dexterity Medical record systems Nursing Organizational Patient advocacy Primary Care Spanish Speaking Specialty care Team Collaboration Telephonic care Training Urgent care Virtual care
Experience5 years
Education Certifications Timezones