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    Job · 21690092

    REMOTEFULLTIME

    Newborn/Pediatric Nurse Care Manager

    Includedhealth

    Includedhealth

    Remote · remote · Posted 1d ago

    Sourced fromNaukri
    Undisclosed5–10 yrsfulltimeRemote

    About a minute. You'll make an account on the way through.

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    Section · 01

    About this role

    Were looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager will guide members through complex Medical and Behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members needs, answering questions, and serving as an advocate. You should also excel at creating cohesive care plans, and should have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.
    Schedule: Monday-Friday 9am-6pm PST
    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
    Required Qualifications:
    • Bachelor of Science in Nursing (BSN).
    • Must have current CCM Certification or eligibility for exam in August 2025
    • 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.


    Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

    Disclaimer: The job location mentioned in this description is based on publicly available information or company headquarters. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

    Sourced from naukri

    Section · 02

    Skills

    NursingGeneticstelemedicinemarket dataSpanishhipaaHealthcaremanagementEquityRecruitment

    Section · Company

    About Includedhealth

    Includedhealth

    Includedhealth

    About

    Included Health is a virtual care and healthcare navigation company that provides integrated medical and behavioral health services. Its platform connects patients with doctors, specialists, and care coordinators to deliver personalized, accessible healthcare experiences. By combining telemedicine, care advocacy, and digital tools, Included Health helps individuals and employers improve health outcomes, reduce costs, and simplify the healthcare journey.

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