CA Licensed Nurse Care Manager, Adult

Responsibilities:

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

Qualifications:

Bachelor of Science in Nursing (BSN).

Must have current CCM Certification or eligibility for exam in August 2026

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 until 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.

Physical/Cognitive Requirements

Prompt and regular attendance at assigned work location.

Capability to remain seated in a stationary position for prolonged periods.

Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.

No heavy lifting is expected, though occasional exertion of about 20lbs of force (e.g., lifting a computer \/ laptop) may be required.

Capability to work with leadership, employees, and members in an appropriate manner.