Included Health

Nurse Care Manager, Adult

Remote

Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

Candidates must possess a Bachelor of Science in Nursing (BSN), CCM certification or eligibility with 5+ years of experience in nursing, and 2+ years of experience in care management. They must reside in a compact NLC state and hold an active Compact RN license in good standing. Willingness to obtain and maintain licensure in multiple states is required, along with experience working remotely and competence in using multiple computer/medical record systems. Spanish speaking skills are desirable.

Responsibilities

As a Nurse Care Manager, responsibilities include delivering coordinated, patient-centered virtual Care Management by telephone or video, creating impactful care plans with members and a diverse care team, helping members navigate complex medical conditions and the healthcare system, partnering with local providers, providing compassionate longitudinal follow-up care, assisting throughout acute healthcare episodes, coordinating necessary resources, and supporting members through complex care management, disease management, and acute case management to ensure excellent health outcomes. The role also involves communicating with colleagues and patients, gathering clinical histories, answering questions at a patient level, summarizing findings, writing medical information in patient-centric language, and strictly following security and HIPAA regulations.

Skills

Care Management
Case Management
Care Coordination
Patient Advocacy
Telehealth
Medical and Behavioral Health
Care Planning
Resource Navigation
Hospitalization Support

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.

Key Metrics

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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