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

About the position We're looking for a Newborn/Pediatric Nurse Care Manager for our Care and Case Management team, who is passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. The telephonic Nurse Care Manager 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 should also excel at creating cohesive care plans, and should 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. 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