Newborn/Pediatric Nurse Care Manager

Position Overview

We are seeking a passionate Newborn/Pediatric Nurse Care Manager to join our Care and Case Management team. This role focuses on holistically caring for members throughout their healthcare journey, ensuring their needs are met with industry-leading interventions. As a telephonic Nurse Care Manager, you will guide members through complex Medical and Behavioral Health situations, collaborating with a diverse clinical team including healthcare professionals, care coordinators, and records specialists to deliver integrated remote care creatively. You should enjoy phone-based interaction, listening to member needs, answering questions, and advocating for them. Success in this role requires creating cohesive care plans and possessing the clinical skills to guide members and navigate benefits and resources effectively. 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.

Employment Type

Full-Time

Schedule

Monday-Friday, 9am-6pm PST

Responsibilities

• Deliver coordinated, patient-centered virtual Care Management via telephone and video to improve members' health outcomes.
• Create impactful care plans collaboratively with members and our diverse care team, helping members achieve their goals.
• Assist members in navigating complex medical conditions, treatment pathways, benefits, and the healthcare system.
• Partner with members' local providers to ensure coordinated care.
• Provide compassionate, longitudinal follow-up care, building supportive relationships.
• Assist during acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
• Coordinate necessary resources to holistically address members' clinical or social problems.

Required Qualifications

• Bachelor of Science in Nursing (BSN).
• Must reside in a compact NLC state.
• Active Compact RN license in good standing with the nursing board of their state.
• Willingness to become licensed in multiple states.
• Current CCM Certification or eligibility for CCM in August.
• 5+ years of Nursing experience.
• 2+ years of experience working in a Newborn/Pediatric setting.
• Ability and willingness to work the specified shift schedule: Monday-Friday, 9am-6pm PST.
• Comfortable discussing multiple medical conditions.
• Empathetic approach, understanding the challenges faced by patients and their families.
• Strict adherence to security and HIPAA regulations.
• Pleasant, responsive demeanor, willing to collaborate and learn from the team.
• Strong competence and ability to use multiple computer/medical record systems.
• Ability to collaborate effectively across diverse teams with clinical and non-clinical members to deliver a seamless, top-quality care experience.
• Ability to support members with cultural and socioeconomic issues by coordinating available resources.

Compensation

• New Hire Base Salary Target Range: $73,700 - $103,180 annually
• Additional Compensation: Equity + Benefits
• Note: The starting base salary will depend on factors such as education, training, skill set, years and depth of experience, certifications and licensure, business needs, internal peer equity, organizational considerations, and alignment with geographic and market data. Compensation structures and ranges are tailored to each zone's unique market conditions to ensure fair and competitive compensation. Your Recruiter can provide further details.