CA Based & Licensed Nurse Care Manager, Adult
Posted Updated
Description
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:
$35.96 - $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 .
-----
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.
Skills
As published by lever · 28 questions · 10 written answers
Basics
Resume/CV, Full name, Email, Phone, Current location, Current company, LinkedIn URL, Other website
Short answers (1)
- Please enter your zip code:
Pick from a list (17)
- Are you legally authorized to work in the U.S.?
- Will you now or in the future require sponsorship for employment visa status (e.g. H-1B status)?
- Have you previously worked for Grand Rounds, Included Health, or Doctor on Demand as a permanent or temporary employee?
- Have you previously worked for FireFly as a permanent or temporary employee?
- I acknowledge that all information regarding the company, including its business, products, services, financial data, and trade secrets, disclosed during the interview process is confidential. I agree not to disclose, use, or reproduce this information except to evaluate employment with the company. I understand and agree that this confidentiality obligation is legally binding and remains in effect indefinitely, regardless of whether I am offered or accept a position.
- Do you consent to receive text (SMS) communications from Included Health recruiters regarding this application and related job‑relevant updates? Opting in does not guarantee that you will be contacted via text. Message Frequency will vary. Msg & data rates may apply. Reply HELP for help or STOP to cancel. optional
- Do you hold a Bachelors of Science in Nursing (BSN)?
- Do you currently hold an Active California RN license? optional
- How many years of experience do you have working in Adult settings?
- Please select the areas of nursing/ populations you have experience in: optional
- What setting is your case management experience in? optional
- Are you able to work the required schedule for this role? Mon-Fri 9AM-6PM local time? optional
- Do you have access to a dedicated quiet and secure work space?
- Do you have experience in offering case management support by doing outbound outreach calls? optional
- Do you have at least 1 year of full time remote/virtual work from home experience? optional
- What are your pronouns? (i.e.: He/Him/His, She/Her/Hers, They/Them/Theirs, etc.)
- Are you comfortable with the following schedule: Shifts from 9 AM - 6 PM PST (12-9PM EST / 11-8PM CST) optional
Written answers (10)
- Have you accumulated at least 24 months of Case Management experience within the past 5 years?
- Do you reside in the state of California?
- Please list the state(s) you hold an active RN license in
- Do you hold a CCM Certification (Case Management)?
- If you answered other above please provide more information optional
- How many cases are you comfortable managing (caseload)?
- Why are you interested in working at Included Health?
- Our Mission at Included Health is to raise the standard of healthcare for everyone; how does this mission align with your professional values or experience?
- This role requires flexibility in scheduling to accommodate team needs. Are you available to occasionally work holiday or weekends?
- When are you available to start? Please consider notice period and any scheduled vacation

Greylock