CA Based Licensed Nurse Care Manager, Adult

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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.<br><br><strong>Responsibilities<br><br></strong><ul><li>Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.</li><li>Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.</li><li>Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.</li><li>Partner with the members' local providers to ensure coordinated care.</li><li>Provide compassionate, longitudinal follow-up care, building supportive relationships.</li><li>Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.</li><li>Coordinate necessary resources that holistically address members' problems, whether clinical or social<br><br></li></ul><strong>Qualifications<br><br></strong><ul><li>Bachelor of Science in Nursing (BSN).</li><li>5+ years of experience in nursing</li><li>2+ years experience working in care management</li><li>Must reside and be based in California</li><li>Active California Nursing License</li><li>Willingness to become (and maintain) licensure in multiple states.</li><li>Work schedule 9AM-6pm PST</li><li>Be comfortable discussing several medical conditions and experience with populations across the age ranges</li><li>Spanish speaking desirable</li><li>Experience working remotely, and strong competence and ability to use multiple computer/medical record systems.</li><li>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.</li><li>We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.</li><li>Strictly follow security and HIPAA regulations to protect our patients' medical information.</li><li>Be pleasant, responsive, and willing to work with and learn from our team.</li><li>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.</li><li>Efficient at writing medical information in easy-to-understand, patient-centric language.<br><br></li></ul><strong>Physical/Cognitive Requirements<br><br></strong><ul><li>Prompt and regular attendance at assigned work location.</li><li>Capability to remain seated in a stationary position for prolonged periods.</li><li>Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.</li><li>No heavy lifting is expected, though occasional exertion of about 20lbs of force (e.g., lifting a computer \/ laptop) may be required.</li><li>Capability to work with leadership, employees, and members in an appropriate manner.<br><br></li></ul>The United States new hire hourly salary target range for this full-time position is:<br><br>$35.43 - $50 per hour + equity + benefits<br><br>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.<br><br>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. <em>Your Recruiter can share your geographic zone alignment upon inquiry.<br><br></em>In addition to receiving a competitive base salary, the compensation package may include, depending on the role, the following:<br><br>Remote-first culture<br><br>401(k) savings plan through Fidelity<br><br>Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)<br><br>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<br><br>Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO")<br><br>12 weeks of 100% Paid Parental leave<br><br>Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance<br><br>Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment)<br><br>11 Holidays Paid with one Floating Paid Holiday<br><br>Work-From-Home reimbursement to support team collaboration and effective home office work<br><br>24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations<em>.<br><br></em><strong>About Included Health<br><br></strong>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<strong> includedhealth.com. <br><br></strong>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.<br><br>Included Health uses AI-assisted tools at select stages of the hiring process to enhance efficiency, consistency, and communication. AI does not make hiring decisions—final decisions are made exclusively by our recruiting and hiring teams.<br><br>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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