Included Health

Behavioral Health, Substance Use Nurse Care Manager, Adult

Included Health

full-time

Posted on:

Location Type: Remote

Location: CaliforniaUnited States

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Salary

💰 $73,700 - $103,180 per year

About the role

  • 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

Requirements

  • Bachelor of Science in Nursing (BSN).
  • Current CCM required
  • 5+ years of experience in nursing
  • 2+ years experience working in care, case and disease management, preferably in a health plan, health navigator or third party administrator (TPA) environment.
  • 2+ years experience working in Behavioral Health and or substance use field
  • 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 preferred.
  • Willingness to become (and maintain) licensure in multiple states.
  • Work until 9-6PM 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.
Benefits
  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
nursingcare managementcase managementdisease managementbehavioral healthsubstance usepatient caremedical record systemsclinical history gatheringmedical writing
Soft Skills
empathycommunicationresponsivenessteamworkrelationship buildingorganizational skillsproblem-solvingpatient-centered careadaptabilitytime management
Certifications
Bachelor of Science in Nursing (BSN)Certified Case Manager (CCM)Active Compact RN licenseCalifornia Nursing License