CA Licensed Newborn/Pediatric Nurse Care Manager REMOTE — FULL-TIMESACRAMENTO, CA

About the position 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. Requirements • 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 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 (and maintain) licensure in multiple states. • Work 9AM-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. Benefits • 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. Apply tot his job Apply To this Job