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Nurse Care Manager, Adult

We're looking for Nurse Care Managers for our Care and Case Management team, who 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
  • 5+ years of experience in nursing
  • 2+ years experience working in care management
  • 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 is sought out
  • Willingness to become (and maintain) licensure in multiple states.
  • Work until 6pm PST (Preference for those based in MST/PST time zones)
  • 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 20 lbs 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 base salary target ranges for this full-time position are:

Zone A: Min: $66,850.00 - $86,910 + equity + benefits

Zone B: Min: $76,878.00 - $99,940 + equity + benefits

Zone C: Min: $83,563.00 - $108,630 + equity + benefits

Zone D: Min: $86,905.00 - $112,980 + 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 you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of 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 great compensation package based on their roles and locations. Your Recruiter can share your geographic zone upon inquiry.


Benefits & Perks:

In addition to receiving a great compensation package, the compensation package may include, depending on the role, the following and more:

Remote-first culture

401(k) savings plan through Fidelity

Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)

Paid Time Off ("PTO") and Discretionary Time Off ("DTO")

12 weeks of 100% Paid Parental leave

Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.

Work-From-Home reimbursement to support team collaboration home office work

Your recruiter will share more about the salary range and benefits package for your role during the hiring process.


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

$89915 / YEARLY (est.)
min
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$66850K
$112980K

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 Nurse Care Manager, Adult, Included Health

If you're a passionate nursing professional looking to make a significant difference in people’s lives, included Health is on the hunt for Nurse Care Managers for our Care and Case Management team in sunny Arizona. In this rewarding role, you’ll primarily engage with members over the phone to provide them with caring, coordinated healthcare support throughout their healthcare journeys. Imagine being the friendly voice on the other side of the line; listening to members’ concerns, answering their questions, and guiding them through sometimes complex medical situations with compassion and expertise. Reporting to the Manager of Care and Case Management, you’ll collaborate closely with a dynamic clinical team to create personalized care plans that align with each member's unique needs. This role isn’t just about medical knowledge; it’s about being an advocate for our members, helping them navigate through their healthcare benefits, and ensuring they receive consistent, outstanding care. You’ll be involved in everything from chronic disease management to acute care situations, always striving for the best health outcomes possible. If you thrive in a fast-paced environment, enjoy virtual interactions, and are empathetic to the needs of others, then being a Nurse Care Manager at Included Health could be your perfect fit. We can't wait to see how you bring your skills to our vibrant team and uplift the lives of the individuals we serve!

Frequently Asked Questions (FAQs) for Nurse Care Manager, Adult Role at Included Health
What are the responsibilities of a Nurse Care Manager at Included Health?

As a Nurse Care Manager at Included Health, you will be responsible for delivering coordinated, patient-centered virtual care management. This involves creating impactful care plans, helping members navigate complex medical issues, and providing compassionate follow-up care. You will work closely with a diverse clinical team to ensure that members have holistic support for their medical and behavioral health needs.

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What qualifications are needed to apply for the Nurse Care Manager position at Included Health?

To apply for the Nurse Care Manager position at Included Health, you must hold a Bachelor of Science in Nursing (BSN) and have current CCM Certification. Additionally, at least five years of nursing experience is required, alongside two years in care management. An active Compact RN license and a commitment to licensure in multiple states are also necessary.

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How does Included Health support its Nurse Care Managers?

Included Health provides robust support for its Nurse Care Managers through training programs, access to advanced medical record systems, and a collaborative team environment. You will benefit from a remote-first culture and comprehensive healthcare benefits, allowing you to focus on providing the best care for our members.

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Is the Nurse Care Manager position at Included Health remote?

Yes, the Nurse Care Manager position at Included Health is primarily remote. Our team emphasizes a work-from-home culture, helping you effectively deliver care management services over the phone or via video and ensuring work-life balance.

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What is the expected salary range for a Nurse Care Manager at Included Health?

The salary range for a Nurse Care Manager at Included Health varies by location but typically falls between $66,850 and $112,980, depending on experience and geographical zone. Our compensation package is designed to reflect equitable pay based on various factors, and your recruiter will provide more specific details during the hiring process.

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Common Interview Questions for Nurse Care Manager, Adult
Can you describe a time when you created a care plan for a patient?

When answering this question, think of a specific example that showcases your skills. Describe the patient’s situation, the challenges you faced, and how you collaborated with the care team to develop an effective care plan. Highlight how you ensured the patient’s needs were met and the outcome of your efforts.

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How do you manage a high volume of patient interactions while maintaining quality care?

Demonstrate your organizational skills and time management strategies. Discuss techniques you use to prioritize tasks and maintain communication with patients, noting how you balance quantity with a patient-centered approach to care.

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What do you believe is the most important aspect of telephonic patient care?

Focus on communication skills and empathy. Explain how active listening, clear explanations, and reassurance play vital roles in telephonic interactions and how they help volunteers feel supported and understood.

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How do you handle difficult conversations with patients or families?

Provide an example of a challenging conversation you've faced and describe your approach. Emphasize your empathy, active listening, and skills in providing emotional support while delivering important information.

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What experience do you have with electronic medical records systems?

Share specific systems you have worked with and explain how you efficiently navigate them to gather patient history or document care. Relate how this experience aligns with the job requirements at Included Health.

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How do you stay informed about updates in healthcare regulations and best practices?

Discuss your commitment to continuous education and professional development. Mention resources such as journals, webinars, or professional organizations that you engage with to stay updated in the nursing field.

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Why do you want to work for Included Health?

Connect your personal values and professional aspirations with Included Health's mission. Explain how their focus on integrated virtual care aligns with your career goals, and express your eagerness to contribute to a team that prioritizes member well-being.

Join Rise to see the full answer
Can you provide an example of how you have dealt with a medical emergency?

Reflect on a specific situation where you handled a medical emergency. Describe your thought process, actions taken, and how your quick response made a positive impact on the patient's care.

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What strategies do you employ to engage patients and encourage them to adhere to their care plans?

Talk about building rapport with patients and the personalized approaches you use to motivate them. Share your techniques for educating patients about their care plans and the importance of compliance.

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What makes you a strong candidate for the Nurse Care Manager role at Included Health?

Summarize your qualifications, skills, and experiences that make you an excellent fit for the role. Highlight your nursing background alongside your passion for supporting patients, ensuring that you tie your strengths back to the job requirements at Included Health.

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

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Full-time, remote
DATE POSTED
January 12, 2025

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