Nurse Care Manager - Adult
About the job
- A Bachelor of Science in Nursing (BSN) is required.
- At least 5 years of nursing experience and 2 years of care management experience are required.
- Must reside and be based in California and hold an active California nursing license.
- Must be willing to obtain and maintain licensure in multiple states.
- Must be comfortable discussing several medical conditions and have experience with populations across age ranges.
- Must have experience working remotely and competence using multiple computer and medical record systems.
- Must follow security and Health Insurance Portability and Accountability Act (HIPAA) regulations to protect patients’ medical information.
- Must be able to gather clinical histories, answer patient-level questions, summarize findings, and write medical information in clear, patient-centered language.
- Must meet volume goals while maintaining quality.
- Must attend regularly at the assigned work location, remain seated for prolonged periods, and have the coordination and dexterity to operate a keyboard, computer, and office equipment. Occasional lifting of approximately 20 pounds may be required.
- Deliver coordinated, patient-centered virtual care management by telephone or video to improve members’ health outcomes.
- Create care plans with members and the care team, and help members achieve their goals.
- Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system.
- Partner with members’ local providers to coordinate care.
- Provide compassionate longitudinal follow-up care and build supportive relationships.
- Assist members and their families during acute healthcare episodes, including hospitalizations and rehabilitation stays, through coordinated case management.
- Coordinate resources that address members’ clinical and social needs.
- Spanish-speaking ability is desirable.
About the company
Included Health coordinates accessible healthcare and advocacy for underserved populations, offering primary care, behavioral health, therapy, psychiatry, and virtual care. Members access a unified platform with 24/7 on-demand care from dedicated providers, integrating primary and behavioral health with care guidance. It differentiates itself through care advocacy, integrated services for underserved groups, and partnerships with employers and consultants that aim for measurable clinical and financial outcomes. The goal is to improve the member experience, achieve better health outcomes, and lower costs for client organizations.
Company Size
51-200
Company Stage
Growth Equity (Venture Capital)
Total Funding
$347M
Headquarters
San Francisco, California
Founded
2020
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Simplify's Take
What believers are saying
- May 2026 Provider Connect drove a 92% increase to top-quartile providers.
- June 2026 AI governance paper showed 65% fewer unnecessary handoffs in pilots.
- August 2026 Carrum partnership and Firefly deal deepen specialty-care and plan-alternative momentum.
What critics are saying
- July 2026 Firefly acquisition needs regulatory approval and integration succeeds only after Q3 close.
- Competition intensifies against Teladoc, Accolade, and health plans building AI navigation.
- 2024 trademark dispute with Includehealth Inc. shows brand-defense distractions and legal friction.
What makes Included Health unique
- Included Health combines navigation, primary care, behavioral health, and benefits support.
- Provider Connect uses real-time member context and quality data to personalize referrals.
- January 2026 alternative plan design makes Included Health a health-plan substitute for employers.
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Benefits
- Along with comprehensive medical, dental and vision plans; all employee spouses and children can access Included Health services at no cost. For time off, take it when you need it with our unaccrued discretionary time off for all exempt employees.