CA Licensed- Nurse Care Manager, CCM

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.

Are you a passionate Nurse Care Manager with oncology experience and a background in care and case management? Do you have experience working with a health plan, health navigator, or third-party administrator (TPA)? If so, we'd love to have you on our Care and Case Management team! As a telephonic Nurse Care Manager, you will report to the Manager, Care and Case Management; you'll be at the heart of our integrated care model, helping members navigate complex medical and behavioral health situations. You'll collaborate with a diverse clinical team—including healthcare professionals, care coordinators, and records specialists—to ensure members receive seamless, integrated support. You'll spend your time on the phone, listening to members, answering their questions, and advocating for their needs. Your expertise in care planning and clinical navigation will help members make informed decisions about their health, access benefits, and connect with essential resources. Through complex care management, disease management, and acute case management, you'll provide longitudinal care that leads to outstanding health outcomes. If you're looking for a meaningful role where you can make a real difference in members' lives—while working in a virtual healthcare environment—this is the opportunity for you!

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