Pediatric Nurse Care Manager

Job not on LinkedIn

4 days ago

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Logo of Included Health

Included Health

SaaS • B2B • HR Tech

Included Health is a healthcare technology company that delivers personalized, employer- and health-plan-focused primary, urgent, and behavioral health care through a single app and a network of virtual and in-person services. It blends AI-driven tools and human care teams to provide 24/7 care coordination, billing and claims advocacy, second opinions from leading specialists, and mental-health support, with the goal of lowering employer healthcare costs and improving member experience and inclusivity.

1001 - 5000 employees

☁️ SaaS

🤝 B2B

👥 HR Tech

📋 Description

• 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

🎯 Requirements

• **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 • 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.

🏖️ 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.

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