Nurse Care Manager, Adult
Utah
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.
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. Apply
Job Profile
Active RN license required IN Must reside in a compact NLC state Preference for MST/PST time zones
Benefits/PerksBenefits Compassionate Leave Dental coverage Discretionary Time Off Equity Fertility Coverage Healthcare Medical, vision, and dental coverage Opportunity for growth Remote work Supportive team environment Work-From-Home reimbursement
Tasks- Assist with complex medical conditions
- Coordinate care with local providers
- Create care plans
- Deliver virtual care management
- Provide follow-up care
- Support during acute healthcare episodes
Acute case management Advocacy Behavioral health Care Coordination Care management Case Management Clinical Collaboration Communication Computer Disease Management Empathy Excel Healthcare HIPAA In-person care Leadership Management Manual Dexterity Medical record systems Nursing Organizational Patient advocacy Primary Care Spanish Spanish Speaking Specialty care Team Collaboration Telephonic care Training Urgent care Virtual care
Experience5 years
EducationBachelor of Science in Nursing BSN
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9