CA Licensed Infertility Maternity Nurse Care Manager, CCM – Remote Position Available In Montgomery, Pennsylvania

Job Description:

We are looking for an Infertility/Maternity Nurse Care Managerfor our Care and Case Management team who also holds a CCM and a CAlicense. You must have case and disease management in a healthplan, health navigator or third-party administrator (TPA)environment. You must be passionate about holistic,patient-centered care to support members through their healthcarejourney and ensure needs are met with industry-leadinginterventions. As a telephonic Nurse Care Manager you willspecialize in guiding members through both routine and complexinfertility and maternity clinical scenarios. You will report tothe Manager, Care and Case Management and partner with a diverseclinical team, including providers, care coordinators, and othersupporting team members, to deliver integrated remote care and casemanagement. You should enjoy spending time on the phone, listeningto members needs, answering questions, and serving as a memberadvocate. You will excel at creating personalized care plans andhave the clinical skills to guide members through infertility andmaternity journeys, while navigating available benefits andresources. As a CCM-certified nurse, you will be equipped with theexpertise to navigate complex healthcare systems and ensure thateach member receives the highest quality care. Nurse Care Managerswill support members with education, advocacy, and care managementthrough family-building/fertility journeys and prenatal/postpartumcare, ensuring they receive comprehensive care that results inpositive health outcomes for both them and their families.

Responsibilities Deliver coordinated, patient-centered virtual CareManagement by telephone or messaging that improves members healthoutcomes. Create impactful care plans together with members and ourdiverse care team, and help members achieve their desired goals.

Help members navigate complex medical conditions, treatmentpathways, benefits, and the healthcare system in general. Partnerwith the members local providers to ensure coordinated care.

Provide compassionate, longitudinal follow-up care, buildingsupportive relationships.

Qualifications and Requirements:

Bachelorof Science in Nursing (BSN). Must reside in a compact NLC state.

Active Compact RN license in good standing with the nursing boardof their state. Active California Nursing License requiredWillingness to become licensed in multiple states. Must havecurrent CCM Certification or eligibility to sit exam in August 20253 years of experience in nursing 2 years experience working incare, case and disease management 2 years experience working inlabor and delivery 2 years experience working in infertility Becomfortable discussing different medical conditions Spanishspeaking desirable Experience with technology and an understandingof digital tools and EMR platforms Strong empathy and commitment topatient-centered care. Meet volume goals while maintaining qualitystandards. Flexibility and comfort in an evolving environment.

Strictly follow security and HIPAA regulations to protect ourpatients medical information. Be pleasant, responsive, and willingto work with and learn from our team. Strong competence and abilityto use multiple computer/medical record systems. Collaborate wellacross diverse teams with clinical and non-clinical members todeliver a seamless, top-quality care experience to patients.

Understand cultural and socioeconomic issues affecting members andto coordinate all available resources to serve members. Translatemedical information into clear, accessible, and patient-friendlylanguage Strict adherence to security and HIPAA regulations.

Physical/Cognitive Requirements Prompt and regular attendance atassigned work location. Capability to remain seated in a stationaryposition for prolonged periods. Eye-hand coordination and manualdexterity to operate keyboard, computer and other office-relatedequipment. No heavy lifting is expected, though occasional exertionof about 20 lbs of force (e.g., lifting a computer / laptop) may berequired. Capability to work with leadership, employees, andmembers in an appropriate manner. The United States new hire basesalary target range for this full-time position is: $73,700 -$103,180 equity benefits This range reflects the minimum andmaximum target for new hire salaries for candidates based on theirrespective Zone. Below is additional information on IncludedHealths commitment to maintaining transparent and equitablecompensation practices across our distinct geographic zones.

Starting base salary for you will depend on several job-relatedfactors, unique to each candidate, which may include education;training; skills; years and depth of experience; certifications andlicensure; our needs; internal peer equity; organizationalconsiderations; and understanding of geographic and market data.

Compensation structures and ranges are tailored to each zonesunique market conditions to ensure that all employees receive fairand great compensation package based on their roles and locations.

Your Recruiter can share your geographic zone upon inquiry.

Benefits & Perks:

In addition to receiving a great compensationpackage, the compensation package may include, depending on therole, the following and more: Remote-first culture 401(k) savingsplan through Fidelity Comprehensive medical, vision, and dentalcoverage through multiple medical plan options (includingdisability insurance) Paid Time Off (“PTO”) and Discretionary TimeOff (“DTO”) 12 weeks of 100% Paid Parental leave

Family Building &Compassionate Leave:

Fertility coverage, $25,000 forsurrogacy/adoption, and paid leave for failed treatments, adoptionor pregnancies. Work-From-Home reimbursement to support teamcollaboration home office work Your recruiter will share more aboutthe salary range and benefits package for your role during thehiring process.

About Included Health:

Included Health is a newkind of healthcare company, delivering integrated virtual care andnavigation. Were on a mission to raise the standard of healthcarefor everyone. We break down barriers to provide high-quality carefor every person in every community — no matter where they are intheir health journey or what type of care they need, from acute tochronic, behavioral to physical. We offer our members careguidance, advocacy, and access to personalized virtual andin-person care for everyday and urgent care, primary care,behavioral health, and specialty care. Its all included. IncludedHealth is an Equal Opportunity Employer and considers applicantsfor employment without regard to race, color, religion, sex,orientation, national origin, age, disability, genetics or anyother basis forbidden under federal, state, or local law. IncludedHealth considers all qualified applicants in accordance with theSan Francisco Fair Chance Ordinance.