Infertility Maternity 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.

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.

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.