Newborn/Pediatric Nurse Care Manager at Included Health

Colorado, United States

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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

Key technologies and capabilities for this role

BSNNursingCare ManagementCase ManagementPediatric NursingNeonatal NursingTelehealthCare CoordinationPatient AdvocacyHealthcare Navigation

Questions & Answers

Common questions about this position

What are the required qualifications for the Newborn/Pediatric Nurse Care Manager role?

Candidates must have a Bachelor of Science in Nursing (BSN), current CCM Certification or eligibility within 6 months of hire, 5+ years of nursing experience, 2+ years in care management, an active Compact RN license, and reside in a compact NLC state.

What is the work schedule and location policy for this position?

The role is full-time with a Monday-Friday 9am-6pm PST schedule, fully remote requiring work in that time zone with preference for MST/PST locations, and experience working remotely is needed.

Is this a remote position?

Yes, it is a fully remote telephonic Nurse Care Manager role requiring remote work experience and comfort using multiple computer/medical record systems.

What is the compensation or salary for this role?

This information is not specified in the job description.

What makes a strong candidate for this Nurse Care Manager position?

Strong candidates have 5+ years of nursing experience including 2+ years in care management, are empathetic, comfortable with remote work and multiple systems, Spanish-speaking is desirable, and can handle high volume while following HIPAA.

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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