CA Licensed Newborn/Pediatric Nurse Care Manager

Utah, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Social ImpactIndustries

Requirements

Candidates must have a Bachelor of Science in Nursing (BSN) and an active Compact RN license in good standing, specifically a California Nursing License. A minimum of 5 years of nursing experience and at least 2 years of experience in a Newborn/Pediatric setting are required. Candidates should be willing to work Monday to Friday from 9am to 6pm PST and have current CCM Certification or eligibility to sit for the exam in August 2025. Strong competence in using multiple computer and medical record systems is essential, along with the ability to discuss various medical conditions and a commitment to following security and HIPAA regulations.

Responsibilities

The Nurse Care Manager will deliver coordinated, patient-centered virtual care management by telephone and video to improve members' health outcomes. They will create impactful care plans in collaboration with members and the care team, assist members in navigating complex medical conditions and the healthcare system, and partner with local providers to ensure coordinated care. The role includes providing compassionate, longitudinal follow-up care, supporting members during acute healthcare episodes, and coordinating necessary resources to address both clinical and social issues.

Skills

Nursing

Case Management

Medical Record Systems

HIPAA Compliance

Patient-Centered Care

Virtual Care Management

Behavioral Health

Disease Management

Acute Case Management

Compact NLC

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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