Included Health

Pediatric Behavioral Health Nurse Care Manager

Remote

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) and an active Compact RN license in good standing, along with an active California Nursing License. A minimum of 5 years of nursing experience is required, with at least 2 years specifically in a pediatric behavioral health setting. Current CCM Certification is preferred. The role requires residing in a compact NLC state and willingness to obtain licenses in multiple states. Candidates must be comfortable managing a wide range of pediatric behavioral health conditions, possess excellent verbal and written communication skills, be technologically competent, and demonstrate success working in multidisciplinary teams. A deep understanding of cultural and socioeconomic factors influencing pediatric behavioral health, along with exceptional attention to detail and documentation quality, is also necessary. Familiarity with HIPAA and a commitment to patient privacy are essential.

Responsibilities

The Pediatric Behavioral Health Nurse Care Manager will provide coordinated, family-centered virtual care management via phone to improve behavioral health outcomes for pediatric members. Responsibilities include developing personalized, goal-oriented care plans in collaboration with families and the multidisciplinary team, supporting members through behavioral health treatment plans, transitions of care, and acute behavioral health crises. The role involves helping families navigate behavioral health systems, treatment options, benefits, and community resources. Additionally, the nurse will partner with pediatricians, behavioral health specialists, schools, and other care team members to ensure aligned, coordinated care, and provide compassionate, longitudinal support through continuous engagement and advocacy. Coordinating resources to address clinical, behavioral, and social determinants of health impacting children and families is also a key responsibility.

Skills

Pediatric Behavioral Health
Nurse Care Management
Telephonic Support
Care Planning
Behavioral Health Resources
Clinical Guidance
Family-Centered Care
Multidisciplinary Team Collaboration
Social Determinants of Health

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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