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About the role
Remote full-time Nurse Care Manager role for a California-based, actively California-licensed RN. The position provides telephonic and video care, case management, disease management, care planning, healthcare navigation, and coordination with providers for adult members with complex medical and behavioral health needs. Requires a BSN, 5+ years of nursing experience, and 2+ years of care management experience.
Key requirements
• Bachelor of Science in Nursing (BSN).
• At least 5 years of relevant experience
• Required skills: Care management, Case management, Disease management, Patient-centered virtual care delivery by telephone or video, Care planning, Healthcare navigation, Coordinating care with providers, Clinical history gathering, Patient-level communication, Medical documentation in patient-centric language, Use of multiple computer and medical record systems, HIPAA and healthcare information security compliance
• Required language: English
• Professional registration/licence with California Board of Registered Nursing (United States)
Opportunity details
• Workplace: Remote
• Posted: Mar 13, 2025
• Original advert language: English
Full vacancy
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Job title: CA Based & Licensed Nurse Care Manager, Adult
Department: Clinical Strategy and Services
Team: Clinical Team
Location: Modesto, CA
All locations: Modesto, CA
Work type: Full-Time
Workplace type: remote
We're looking for California Based Nurse Care Managers for our Care and Case Management team, who resides in California and holds a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions.
As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate.
You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. 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.
#LI-Remote
Responsibilities:
Deliver coordinated, patient-centered virtual Care Management by telephone or 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
Qualifications:
Bachelor of Science in Nursing (BSN).
5+ years of experience in nursing
2+ years experience working in care management
Must reside and be based in California
Active California Nursing License
Willingness to become (and maintain) licensure in multiple states.
Work schedule 9AM-6pm PST
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. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.
We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
Strictly follow security and HIPAA regulations to protect our patients' medical information.
Be pleasant, responsive, and willing to work with and learn from our team.
A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
Efficient at writing medical information in easy-to-understand, patient-centric language.
Physical/Cognitive Requirements
Prompt and regular attendance at assigned work location.
Capability to remain seated in a stationary position for prolonged periods.
Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
No heavy lifting is expected, though occasional exertion of about 20lbs of force (e.g., lifting a computer \/ laptop) may be required.
Capability to work with leadership, employees, and members in an appropriate manner.
The United States new hire hourly salary target range for this full-time position is:
$35.97 - $50.35 per hour + equity + benefits
This range reflects the minimum and maximum target for new hire salaries for candidates. Below is additional information on Included Health's commitment to maintaining transparent and equitable compensation practices across our distinct geographic zones.
Starting base salary for the successful candidate will depend on several job-related factors, unique to each candidate, which may include, but not limited to, 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 that all employees receive fair and competitive compensation based on their roles and locations. Your Recruiter can share your geographic zone alignment upon inquiry.
In addition to receiving a competitive base salary, the compensation package may include, depending on the role, the following:
Remote-first culture
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents
Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
12 weeks of 100% Paid Parental leave
Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance
Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment)
11 Holidays Paid with one Floating Paid Holiday
Work-From-Home reimbursement to support team collaboration and effective home office work
24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations.
About Included Health
Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation. We’re on a mission to raise the standard of healthcare for everyone. We break down barriers to provide high-quality care for every person in every community — no matter where they are in their health journey or what type of care they need, from acute to chronic, behavioral to physical.
We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care. It’s all included. Learn more at includedhealth.com.
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Included Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law. Included Health considers all qualified applicants with arrest or conviction records in accordance with the San Francisco Fair Chance Ordinance, the Los Angeles County Fair Chance Ordinance, and California law.
Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.