Let’s get started
By clicking ‘Next’, I agree to the Terms of Service
and Privacy Policy
Jobs / Job page
CA Based Licensed Nurse Care Manager, Adult image - Rise Careers
Job details

CA Based Licensed Nurse Care Manager, Adult

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).
  • Must have current CCM Certification or eligibility for exam in August 2025
  • 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:

$35.43 - $50 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.


-----

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 in accordance with the San Francisco Fair Chance Ordinance.

Included Health Glassdoor Company Review
3.6 Glassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon Glassdoor star icon
Included Health DE&I Review
4.3 Glassdoor star iconGlassdoor star iconGlassdoor star iconGlassdoor star icon Glassdoor star icon
CEO of Included Health
Included Health CEO photo
Owen Tripp
Approve of CEO

Average salary estimate

$88869 / YEARLY (est.)
min
max
$73738K
$104000K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

What You Should Know About CA Based Licensed Nurse Care Manager, Adult, Included Health

At Included Health, we're on the lookout for an enthusiastic CA Based Licensed Nurse Care Manager dedicated to making a meaningful difference in the lives of our members based in Ontario, California. If you hold a California RN license and have experience with health plans or as a health navigator, you might just be the perfect fit for our Care and Case Management team! As a Nurse Care Manager, you will work telephonically, guiding members through complex medical and behavioral health situations while collaborating with a diverse clinical team. Your role involves creating cohesive care plans that support their unique needs and desires through personalized, impactful interventions. You should thrive on spending time on the phone listening to members, answering their questions, and being their advocate along their healthcare journey. This position allows you to provide essential support during crucial healthcare episodes, managing acute cases and ensuring members navigate their care efficiently. If you're someone with clinical skills, compassion, and the ability to build rapport over calls, we want you to join us! With your background and our innovative approach to healthcare, together we can help members achieve the best health outcomes possible while working within a supportive and friendly environment.

Frequently Asked Questions (FAQs) for CA Based Licensed Nurse Care Manager, Adult Role at Included Health
What responsibilities does a CA Based Licensed Nurse Care Manager at Included Health have?

As a CA Based Licensed Nurse Care Manager at Included Health, you will deliver coordinated, patient-centered virtual care management that enhances health outcomes for our members. This involves creating care plans, navigating complex medical conditions, and providing compassionate follow-up care through phone or video consultations. Collaborating with local providers, you will ensure that our members receive seamless care throughout their healthcare journey.

Join Rise to see the full answer
What qualifications are required to become a CA Based Licensed Nurse Care Manager at Included Health?

To qualify for the CA Based Licensed Nurse Care Manager role at Included Health, candidates must possess a Bachelor of Science in Nursing (BSN), a current California Nursing License, and at least 5 years of nursing experience, including 2 years in care management. Additionally, candidates should have a CCM certification or eligibility for the exam by 2025. Being based in California and having strong communication skills are essential for this role.

Join Rise to see the full answer
What type of work environment should a CA Based Licensed Nurse Care Manager expect at Included Health?

At Included Health, the CA Based Licensed Nurse Care Manager is expected to work in a remote-first culture. This means you’ll be connecting with members from the comfort of your home while still collaborating closely with your team. The environment is fast-paced yet focuses on providing the highest quality care without sacrificing personal connections with members.

Join Rise to see the full answer
How does Included Health support its Nurse Care Managers in career advancement?

Included Health is committed to the professional growth of its employees, offering opportunities for ongoing training, certification, and mentorship. As a CA Based Licensed Nurse Care Manager, you'll receive support for professional development, including pathing for obtaining future certifications and learning new skills to enhance your role in our care team.

Join Rise to see the full answer
What is the work schedule for a CA Based Licensed Nurse Care Manager at Included Health?

The work schedule for a CA Based Licensed Nurse Care Manager at Included Health is from 9 AM to 6 PM PST. This consistent schedule allows Nurse Care Managers to effectively manage their work-life balance while ensuring members receive the necessary care and support during their healthcare journeys.

Join Rise to see the full answer
Common Interview Questions for CA Based Licensed Nurse Care Manager, Adult
How would you handle a difficult conversation with a member as a Nurse Care Manager?

When handling difficult conversations, it’s crucial to remain calm, empathetic, and focused on the member’s needs. Start by listening actively to understand their concerns fully. Use open-ended questions to encourage dialogue, and affirm their feelings before providing guidance. It's important to reassure them that you're there to support them through challenges.

Join Rise to see the full answer
Can you describe your experience with care management and how it relates to this position?

Articulate your specific experiences in care management, highlighting cases where you developed and implemented care plans. Discuss how these experiences helped improve patient outcomes and how they align with Included Health's approach to integrated care, emphasizing your commitment to patient-centered care.

Join Rise to see the full answer
What strategies do you use to stay organized while managing multiple cases?

To stay organized, I utilize digital tools to manage my caseload effectively, such as project management software and calendars. Prioritizing tasks based on urgency and complexity helps me ensure each member receives timely support. Regularly revisiting and updating care plans keeps me on track and allows for smooth transitions in care.

Join Rise to see the full answer
How do you ensure compliance with HIPAA regulations in your work?

I ensure compliance with HIPAA regulations by following strict protocols when handling patient information. I make sure to limit discussions to necessary details only, use secured systems for documentation, and keep communication channels safe and confidential, emphasizing the importance of privacy during all interactions.

Join Rise to see the full answer
What is your approach to collaborating with a diverse clinical team?

Collaboration with a diverse clinical team requires respect, open communication, and a willingness to understand different perspectives. I actively engage team members to leverage their strengths in creating comprehensive care plans and foster an environment where everyone feels comfortable sharing their insights and expertise.

Join Rise to see the full answer
How do you handle stress and maintain your well-being in a demanding healthcare role?

I manage stress by employing significant self-care strategies, such as mindfulness meditation, regular breaks, and physical activity. Maintaining a healthy work-life balance allows me to recharge and be present for my members emotionally and mentally, which ultimately improves my performance as a Nurse Care Manager.

Join Rise to see the full answer
What is your experience with telephonic nursing care, and how do you adapt to this mode of care?

I have substantial experience in telephonic nursing care, which demands strong communication skills to convey complex information clearly. I adapt by actively listening, using visual aids when possible, and ensuring that the member feels supported throughout the conversation, creating a personal connection, even from a distance.

Join Rise to see the full answer
Describe a situation where you advocated for a patient's needs effectively.

Share a specific instance where you identified a member's unmet needs and took action by facilitating care resources. Explain how you communicated with providers and the positive outcome achieved. Providing a compelling story shows your commitment to patient advocacy.

Join Rise to see the full answer
How do you stay updated on medical guidelines and best practices?

To stay current on medical guidelines and best practices, I regularly participate in continuing education courses, attend webinars, and subscribe to relevant medical journals. Engaging in professional networks further provides insights into emerging trends, ensuring my practice remains evidence-based.

Join Rise to see the full answer
What motivates you to work as a Nurse Care Manager at Included Health?

I am motivated to work as a Nurse Care Manager at Included Health because of the company's mission to raise healthcare standards and create meaningful connections with patients. Helping members navigate their healthcare challenges aligns with my passion for patient advocacy and holistic care, making a positive impact on their lives.

Join Rise to see the full answer
Similar Jobs
Photo of the Rise User
Inclusive & Diverse
Growth & Learning
Mission Driven
Diversity of Opinions
Photo of the Rise User
Inclusive & Diverse
Growth & Learning
Mission Driven
Diversity of Opinions
Photo of the Rise User
Posted 11 days ago
Posted 7 days ago
Photo of the Rise User
Posted 14 days ago
Ndustrial Remote No location specified
Posted 7 days ago
Photo of the Rise User
Asbury Communities Hybrid Williamsport, PA 17701, USA
Posted 11 days ago

Our mission is to raise the standard of healthcare for everyone.

282 jobs
MATCH
VIEW MATCH
BADGES
Badge ChangemakerBadge Diversity ChampionBadge Flexible CultureBadge Future Maker
CULTURE VALUES
Inclusive & Diverse
Growth & Learning
Mission Driven
Diversity of Opinions
FUNDING
SENIORITY LEVEL REQUIREMENT
TEAM SIZE
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
March 8, 2025

Subscribe to Rise newsletter

Risa star 🔮 Hi, I'm Risa! Your AI
Career Copilot
Want to see a list of jobs tailored to
you, just ask me below!
LATEST ACTIVITY
Photo of the Rise User
Someone from OH, Mason just viewed Marketing & Communications Intern at Per Scholas
Photo of the Rise User
Someone from OH, Lakewood just viewed Recruiter (Talent Sourcing), 6 month contract at Jerry
Photo of the Rise User
Someone from OH, Westerville just viewed Director Change Management at Discover
Photo of the Rise User
Someone from OH, Dublin just viewed Applied AI Engineer – Computer Vision at Kodiak
Photo of the Rise User
Someone from OH, Dublin just viewed Computer Vision Engineer at Near Space Labs
Photo of the Rise User
Someone from OH, Cleveland just viewed Accounting Co-Op (Part-Time) at Avery Dennison
Photo of the Rise User
Someone from OH, Euclid just viewed Lighting Intern, DreamWorks, Summer 2025 at NBCUniversal
Photo of the Rise User
Someone from OH, Cincinnati just viewed Saw Operator I at Eriez
Photo of the Rise User
Someone from OH, Burton just viewed Creative Director at Webster University
Photo of the Rise User
Someone from OH, Lewis Center just viewed Risk Analytics Manager at Jobber
Photo of the Rise User
Someone from OH, Lewis Center just viewed Risk Analyst II at GoFundMe
Photo of the Rise User
Someone from OH, Lewis Center just viewed Senior Risk Analyst at GoFundMe
Photo of the Rise User
Someone from OH, Lewis Center just viewed Manager, Fraud Operations at Twilio
Y
Someone from OH, Lewis Center just viewed Fraud Manager at Yellow Social Interactive
Photo of the Rise User
Someone from OH, Lewis Center just viewed Senior Associate, Fraud Strategy and Analytics at Wealthsimple
Photo of the Rise User
Someone from OH, Lewis Center just viewed Consulting Manager Fraud Practice at Visa
Photo of the Rise User
Someone from OH, Mansfield just viewed 12 Hour Shift- Food Production Supervisor at Shearer's Foods
Photo of the Rise User
Someone from OH, Lewis Center just viewed Fraud Detection Specialist – Payment Detection (Hybrid) at Zopa
Photo of the Rise User
Someone from OH, Lewis Center just viewed Fraud Operations Specialist - Banking Operations (Hybrid) at Zopa
Photo of the Rise User
Someone from OH, Lewis Center just viewed Senior Third-Party Risk Analyst at Fenergo