Newborn/Pediatric Nurse Care Manager

Included Health

. Deliver coordinated, patient-centered virtual Care Management by telephone and video .

Posted 10/16/2026full-timeRemote • United StatesMid-LevelSenior💰 $73,700 - $103,180 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Care Management, including the creation of patient-centered care plans and coordination of clinical and social resources. Proficient in navigating complex medical conditions and advocating for members while adhering to HIPAA regulations.

Highest-signal resume keywords

Bachelor Of Science In Nursing (BSN)CCM Certification5+ Years Of Nursing Experience2+ Years In Care ManagementActive Compact RN License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care ManagementCase ManagementClinical History GatheringMedical Record SystemsDisease ManagementPatient-Centric CommunicationComplex Care CoordinationAcute Care ManagementWriting Medical InformationSpanish Speaking

Soft Skills

Compassionate CareRelationship BuildingAdvocacyListening SkillsRemote Work Experience

Certifications & Qualifications

CCM CertificationActive Compact RN License

Industry Keywords

Patient-Centered CareHealthcare NavigationHIPAA RegulationsMedical ConditionsBehavioral Health

About the role

Key responsibilities & impact

Deliver coordinated, patient-centered virtual Care Management by telephone and video
Create care plans with members and the diverse care team
Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system
Partner with members’ local providers to ensure coordinated care
Provide compassionate, longitudinal follow-up care and build supportive relationships
Assist during acute healthcare episodes, including hospitalizations and rehabilitation stays, through coordinated Case Management
Coordinate clinical and social resources to address members’ needs
Guide members through complex medical and behavioral health situations
Advocate for members, answer questions, and listen to their needs
Support complex care management, disease management, and acute case management to improve health outcomes

Requirements

What you’ll need

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 of 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
Willingness to become and maintain licensure in multiple states
Work 9AM–6PM PST; preference for candidates based in MST/PST time zones
Comfortable discussing several medical conditions and experience with populations across age ranges
Experience working remotely
Strong competence using multiple computer/medical record systems
Strictly follow security and HIPAA regulations
Ability to gather clinical history, answer patient-level questions, and summarize findings
Efficient at writing medical information in easy-to-understand, patient-centric language
Spanish speaking desirable

Benefits

Comp & perks

Equity
401(k) savings plan through Fidelity
Comprehensive medical, vision, and dental coverage through multiple medical plan options, including disability insurance
Included Health telemedicine and health care navigation products and services 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
11 paid holidays with one floating paid holiday
Work-From-Home reimbursement
24 hours of Paid Volunteer Time Off (VTO) per year
Remote-first culture