Job Summary:
We are looking for an Infertility/Maternity Nurse Care Manager for our Care and Case Management team who also holds a CCM and a CA license. You must have case and disease management in a health plan, health navigator or third-party administrator (TPA) environment. You must be passionate about holistic, patient-centered care to support members through their healthcare journey and ensure needs are met with industry-leading interventions.
As a telephonic Nurse Care Manager you will specialize in guiding members through both routine and complex infertility and maternity clinical scenarios. You will report to the Manager, Care and Case Management and partner with a diverse clinical team, including providers, care coordinators, and other supporting team members, to deliver integrated remote care and case management. You should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as a member advocate. You will excel at creating personalized care plans and have the clinical skills to guide members through infertility and maternity journeys, while navigating available benefits and resources.
As a CCM-certified nurse, you will be equipped with the expertise to navigate complex healthcare systems and ensure that each member receives the highest quality care. Nurse Care Managers will support members with education, advocacy, and care management through family-building/fertility journeys and prenatal/postpartum care, ensuring they receive comprehensive care that results in positive health outcomes for both them and their families.
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Responsibilities- Deliver coordinated, patient-centered virtual Care Management by telephone or messaging that improves members' health outcomes.
- Create impactful care plans together with members and our diverse care team, and help members achieve their 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.
Qualifications and Requirements:- Bachelor of Science in Nursing (BSN).
- 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 required
- Willingness to become licensed in multiple states.
- Must have current CCM Certification
- 3 years of experience in nursing
- 2+ years experience working in care, case and disease management
- 2+ years experience working in labor and delivery
- 2+ years experience working in infertility
- Be comfortable discussing different medical conditions
- Spanish speaking desirable
- Experience with technology and an understanding of digital tools and EMR platforms
- Strong empathy and commitment to patient-centered care.
- Meet volume goals while maintaining quality standards.
- Flexibility and comfort in an evolving environment.
- 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 competence and ability to use multiple computer/medical record systems.
- Collaborate well across diverse teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients.
- Understand cultural and socioeconomic issues affecting members and to coordinate all available resources to serve members.
- Translate medical information into clear, accessible, and patient-friendly language
- Strict adherence to security and HIPAA regulations.
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.
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Pay & Benefits:
Pay & Benefits:
The United States new hire base salary target ranges for this full-time position are:
Zone A: Min: $66,850.00 - $93,590 + 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.
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.
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.
