Newborn/Pediatric Nurse Care Manager at Included Health

Arizona, United States

Included Health Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • Bachelor of Science in Nursing (BSN)
  • 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
  • Ability to meet volume goals without sacrificing quality
  • Strictly follow security and HIPAA regulations
  • Be pleasant, responsive, and willing to work with and learn from the team
  • Ability to gather a clinical history, answer questions at a patient level, and summarize findings
  • Efficient at writing medical information in easy-to-understand, patient-centric language

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

Skills

BSN
Nursing
Care Management
Case Management
Disease Management
Telephonic Care
Care Planning
Patient Advocacy
Healthcare Navigation

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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