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CA Licensed Newborn/Pediatric Nurse Care Manager

We're looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager 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 should also excel at creating cohesive care plans, and should 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.


Schedule: Monday-Friday 9am-6pm PST


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


Required Qualifications:
  • Bachelor of Science in Nursing (BSN).
  • Must reside in a compact NLC state.
  • Active Compact RN license in good standing with the nursing board of their state.
  • Active California Nursing License
  • Willingness to become licensed in multiple states
  • Current CCM Certification or eligibility to sit for exam in August 2025
  • 5+ years Nursing experience
  • 2+ years experience working in Newborn/Pediatric setting
  • Be able and willing to work until shift schedule: Monday- Friday, 9am- 6pm PST
  • Be comfortable discussing several medical conditions
  • Empathetic - We work with patients and their families who are going through challenging times.
  • Strictly follow security and HIPAA regulations
  • Be pleasant, responsive, and willing to work with and learn from our team.
  • Strong competence and ability to use multiple computer/medical record systems.
  • Collaborate well across diverse teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients.
  • Support members with cultural and socioeconomic issues affecting them by coordinating all available resources



The United States new hire base salary target range for this full-time position is:

  $73,700 - $103,180 + equity + benefits



This range reflects the minimum and maximum target for new hire salaries for candidates based on their respective Zone. 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 in accordance with the San Francisco Fair Chance Ordinance.

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Average salary estimate

$88440 / YEARLY (est.)
min
max
$73700K
$103180K

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 Licensed Newborn/Pediatric Nurse Care Manager, Included Health

At Included Health, we are excited to welcome a passionate CA Licensed Newborn/Pediatric Nurse Care Manager to our Care and Case Management team in beautiful Denver, CO. If you're someone who thrives on providing holistic care that truly makes a difference in the lives of our members, this is the perfect opportunity for you! As a telephonic Nurse Care Manager, you will engage with families, helping them navigate complex medical and behavioral health challenges, all while forming supportive relationships. You will collaborate with a diverse clinical team, including various healthcare professionals and care coordinators, to ensure that members receive comprehensive and integrated remote care. Your role will be vital in crafting cohesive care plans and guiding members through their healthcare journeys, focusing on their individual needs and goals. With a Monday through Friday schedule from 9 am to 6 pm PST, you’ll have ample time to cultivate meaningful connections and significantly impact our members’ health outcomes. We believe in providing compassionate, longitudinal support for those facing complex care management, disease management, and acute cases. Your expertise will shine in creating tailored solutions that address both clinical and social aspects of care. So, if you have your Bachelor's in Nursing, an active California license, and a heart for helping others, we’d love to hear from you and discuss how you can be part of our mission to raise the standard of healthcare for everyone!

Frequently Asked Questions (FAQs) for CA Licensed Newborn/Pediatric Nurse Care Manager Role at Included Health
What are the responsibilities of a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health?

As a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health, you will be responsible for delivering coordinated, patient-centered care management. Your duties will include developing impactful care plans in collaboration with members and healthcare teams, assisting members with navigating medical conditions, coordinating care with local providers, and providing longitudinal support throughout treatment. Additionally, you'll be guiding members through acute healthcare episodes and ensuring they have access to necessary resources.

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What qualifications are required for a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health?

To qualify for the CA Licensed Newborn/Pediatric Nurse Care Manager position at Included Health, applicants must possess a Bachelor of Science in Nursing (BSN) and have an active RN license in good standing, specifically a California Nursing License. Additionally, you should have a minimum of 5 years of nursing experience, including at least 2 years in a newborn or pediatric setting, along with current CCM certification or the eligibility to take the accredited exam.

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How does a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health support members?

In your role as a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health, you will provide comprehensive support by engaging with members over the phone, listening to their unique healthcare needs, and serving as their advocate. You'll help them develop personalized care plans, coordinate resources, and ensure they understand their benefits. Your empathetic approach will help build trust as you guide them through their healthcare journeys.

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What is the work schedule for a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health?

The work schedule for the CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health is Monday through Friday, from 9 am to 6 pm PST. This structured schedule allows for a balanced work-life dynamic while ensuring you can effectively support our members throughout their healthcare experiences.

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What is the compensation package for a CA Licensed Newborn/Pediatric Nurse Care Manager at Included Health?

Included Health offers a competitive salary range for the CA Licensed Newborn/Pediatric Nurse Care Manager position, typically between $73,700 and $103,180, depending on various factors such as experience, location, and qualifications. In addition to a robust salary, the compensation package includes equity, comprehensive health coverage, generous paid time off, and various other benefits aimed at fostering a supportive work environment.

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Common Interview Questions for CA Licensed Newborn/Pediatric Nurse Care Manager
Can you describe your experience in managing pediatric patients?

When answering this question, highlight specific instances where you've managed care for pediatric patients, addressing conditions and treatments applicable to newborns and children. Emphasize your clinical skills and the importance of compassion while navigating complex health journeys.

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How do you approach creating personalized care plans?

Discuss your strategy for assessing patient needs and collaborating with team members and families to tailor care plans. This showcases your ability to listen and integrate diverse insights into effective treatment suggestions.

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What techniques do you use to build rapport with patients over the phone?

Explain methods you employ to connect with patients remotely, such as active listening, empathy, and clear communication. Highlight the importance of establishing trust, especially for members in stressful situations.

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How do you ensure compliance with HIPAA regulations?

Your answer should reflect a thorough understanding of HIPAA guidelines and a commitment to patient privacy. Discuss specific practices you implement to protect patient information, like using secure communication methods and maintaining confidentiality.

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Can you share an example of a challenging case you managed?

Provide a detailed example that showcases your critical thinking and problem-solving skills. Discuss how you assessed the situation, collaborated with the healthcare team, and successfully navigated the complexities of the case.

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How do you handle disagreements with team members over care decisions?

Outline your approach to fostering a collaborative environment where differing opinions can be discussed openly. Stress the importance of staying focused on patient outcomes while respecting team dynamics.

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What resources do you utilize to stay updated with pediatric care advancements?

Mention any relevant journals, online courses, and professional organizations you engage with to keep your knowledge current. This demonstrates your commitment to continuous education and patient care excellence.

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How do you prioritize tasks when managing multiple cases?

Reflect on your organizational skills, discussing strategies like addressing urgent cases first, using lists, and technology to track progress. This shows your capability to manage time effectively.

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What role does communication play in your nursing practice?

Elaborate on the significance of effective communication, encompassing interactions with patients, families, and healthcare teams. Stress how it enhances care delivery and ensures all parties are informed and involved.

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Why do you want to work at Included Health as a Nurse Care Manager?

Your response should reflect an understanding of Included Health's mission. Express personal alignment with their values of integrated care and community health while showcasing your enthusiasm for supporting diverse patient needs.

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

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CULTURE VALUES
Inclusive & Diverse
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DATE POSTED
March 8, 2025

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