Newborn/Pediatric Nurse Care Manager

Remote

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Not SpecifiedCompensation

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

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

Candidates must possess a Bachelor of Science in Nursing (BSN), reside in a compact NLC state, and hold an active Compact RN license in good standing. A willingness to become licensed in multiple states and current CCM Certification or eligibility for CCM by August are required. The role necessitates over 5 years of nursing experience, with at least 2 years specifically in a Newborn/Pediatric setting. Applicants must be available to work Monday-Friday, 9 am-6 pm PST, be comfortable discussing multiple medical conditions, and strictly adhere to security and HIPAA regulations. Strong computer system proficiency, the ability to collaborate with diverse teams, and support for members with cultural and socioeconomic issues are also essential.

Responsibilities

The Newborn/Pediatric Nurse Care Manager will deliver coordinated, patient-centered virtual care management via telephone and video to improve member health outcomes. Responsibilities include creating care plans with members and the care team, helping members achieve health goals, and guiding them through complex medical conditions, treatment pathways, benefits, and the healthcare system. The role involves partnering with local providers for coordinated care, providing compassionate, longitudinal follow-up, and assisting during acute healthcare episodes like hospitalizations. Additionally, the Nurse Care Manager will coordinate necessary resources to holistically address member problems, whether clinical or social.

Skills

Pediatric Nursing

Care Management

Case Management

Telephonic Communication

Behavioral Health

Clinical Skills

Care Planning

Disease Management

Patient Advocacy

Interdisciplinary Collaboration

Virtual Care

Holistic 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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