CA Licensed Infertility Maternity Nurse Care Manager, CCM

Remote

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, HealthcareIndustries

Requirements

Candidates must possess a Bachelor of Science in Nursing (BSN), an active Compact RN license, and a California Nursing License. A minimum of 3 years of nursing experience is required, with at least 2 years each in care/case/disease management, labor and delivery, and infertility. Current CCM certification or eligibility for the August 2025 exam is mandatory. The role requires experience in a health plan, navigator, or TPA environment, comfort with technology and EMR platforms, strong empathy, and Spanish speaking skills are desirable. Candidates must reside in a compact NLC state and be willing to obtain licenses in multiple states.

Responsibilities

The Nurse Care Manager will provide telephonic, patient-centered virtual care management for members navigating infertility and maternity journeys. Responsibilities include creating personalized care plans, educating members, advocating for their needs, and helping them navigate complex medical conditions, treatment pathways, benefits, and the healthcare system. The role involves partnering with members' providers, providing longitudinal follow-up care, and ensuring adherence to security and HIPAA regulations. Additionally, the nurse will translate medical information into patient-friendly language and collaborate with diverse clinical and non-clinical teams to deliver high-quality care.

Skills

Infertility Care

Maternity Care

Nurse Care Management

CCM Certification

CA RN License

Case Management

Disease Management

Health Navigation

Patient-Centered Care

Holistic Care

Telephonic Communication

Care Planning

Healthcare System Navigation

Benefit Navigation

Family Building

Fertility Journeys

Prenatal Care

Postpartum Care

Included Health

Healthcare advocacy and specialized care services

About Included Health

Included Health focuses on enhancing the healthcare experience for individuals who often face challenges in accessing quality care. The company provides a variety of services, including primary care, behavioral health, and virtual care, ensuring that members receive timely and appropriate treatment. Their model emphasizes 24/7 on-demand care with a diverse group of providers, allowing for personalized support tailored to complex health needs. Unlike many competitors, Included Health prioritizes underserved populations and partners with employers and consultants to deliver comprehensive healthcare solutions that not only improve health outcomes but also help reduce costs. The ultimate goal of Included Health is to make quality healthcare accessible and understandable for everyone, particularly those who have been overlooked by traditional healthcare systems.

San Francisco, CaliforniaHeadquarters

2020Year Founded

$337.5MTotal Funding

GROWTH_EQUITY_VCCompany Stage

HealthcareIndustries

51-200Employees

Benefits

Along with comprehensive medical, dental and vision plans; all employee spouses and children can access Included Health services at no cost. For time off, take it when you need it with our unaccrued discretionary time off for all exempt employees.

Risks

Competition from Teladoc and Amwell threatens market share.

Post-merger integration challenges could affect service delivery.

Regulatory scrutiny on telehealth may impact operational flexibility.

Differentiation

Included Health offers integrated primary and behavioral health services.

They provide 24/7 on-demand care with diverse providers.

Their data-driven approach enhances healthcare outcomes and reduces costs.

Upsides

Rising demand for telehealth boosts Included Health's virtual care services.

Employers investing in healthcare benefits expand Included Health's client base.

Value-based care models align with Included Health's focus on outcomes.

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