Pediatric Nurse Care Manager

Pediatric Nurse Care Manager

REMOTE

CLINICAL STRATEGY AND SERVICES CLINICAL TEAM

FULL-TIME

Hiring/Start Date Timeframe: Jan 2022 – Feb 2023

We’re looking for telephonic Pediatric Nurse Care Manager who are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions.

Telephonic Pediatric Nurse Care Manager will guide members through complex medical situations, partnering with a multidisciplinary clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in an innovative way. The Telehealth Nurse Care Manager should enjoy spending time on the phone, listening to members’ needs, answering questions, and serving as an advocate. They should also excel at creating cohesive care plans, and should possess the clinical acumen 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.

Responsibilities:

• • Deliver coordinated, patient-centered virtual Care Management by telephone and/or video that improves members’ health outcomes.
  • Generate impactful care plans together with members and our multidisciplinary 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.
  • Must reside in a compact state.
  • Registered Nurse, Compact licensed and in good standing with the nursing board of their state.
  • Willingness to become licensed in multiple states.
  • 5+ years of experience in nursing preferred – Pediatric population.
  • 2+ years experience working in Complex Care and Acute Case Management or Hospice Case Management preferred.
  • Case Management Certification / CCM Certification
  • Be comfortable discussing a wide variety of medical conditions;Spanish speaking desirable.
  • Experience working remotely preferred;Be comfortable with technology.
  • Be highly empathetic. We work with patients and their families who are going through challenging times. Ideal candidates practice empathy and reassure patients that we are available to help them.
  • Must be able to work efficiently. We are a fast growing company and we are busy. Our team is expected to meet volume goals without sacrificing quality. Good judgment for balancing priorities is a must.
  • Be flexible and comfortable with working in a rapidly-changing environment.
  • Be able and willing to work until 6pm local time, with occasional weekend commitments as well.
  • 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.
  • Strong verbal and written communication skills. A lot of time is spent on the phone with patients and families, as well as a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and succinctly summarize findings is critical.
  • Strong competence and ability to use multiple computer/medical record systems.
  • Collaborate well across multidisciplinary teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients.
  • Ability to understand cultural and socioeconomic issues affecting members and to coordinate all available resources to serve members.
  • Excellent grammar, attention to detail, and efficient at writing medical information in easy-to-understand, patient-centric language.

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.