Nurse Case Manager: Care Coordination & Rehabilitation

TRIUNE Health Group; Phoenix (AZ); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Generous Time Off

401(k) match

Medical, dental, and vision coverage

Disability Coverage

Employee Assistance Program

Work-from-Home Essentials

Travel reimbursement

Job summary

TRIUNE Health Group is hiring a Nurse Case Manager in Phoenix, AZ to coordinate resources for catastrophically or chronically ill individuals, aiming for quality, holistic treatment and timely return to work when appropriate.

The role requires RN licensure in the state, 3+ years of clinical experience, CCM preferred. You will communicate with patients, families, and providers, and travel up to 90% of the time. A supportive, family-owned culture with strong benefits is offered.

Qualifications

• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology.
• CCM preferred.

Responsibilities

• Provide medical case management coordinating with patient, physicians, other health care providers, the employer, and the referral source.
• Utilize the steps of Case Management to provide assessment, planning, implementation, evaluation, and outcome of an individual’s progress.
• Evaluate individual treatment plans for appropriateness, medical necessity, and cost-effectiveness.
• Facilitate care, such as negotiating and coordinating the delivery of durable medical equipment and home health services, ensuring clear communication.
• Assess rehabilitation facilities for appropriateness of care, facilitate transportation, and coordinate architectural assessments of patients’ homes when required.
• Communicate medical information clearly and compassionately to patients and families.
• Stay current with medical terminology and the federal and state laws related to health care, Workers’ Compensation, ADA, HIPAA, FMLA, STD, LTD, SSDI, and SSA.
• Utilize technology (computer, cell phone, fax, and scanning machine) to prepare organized, timely reports while complying with safety rules and regulations in conjunction with HIPAA.
• Research medical and community resources for individuals with catastrophic or chronic diagnoses, such as but not limited to AIDS, cancer, spinal cord injuries, diabetes, head injuries, back injuries, hand injuries, and burns, ensuring accessibility for individuals.
• Possess a valid driver’s license with the ability to travel 90% of the time.
• Perform other duties as assigned.

Skills

Leadership

Communication

Analytical

Organization

MS Office

Problem-solving

Dependable

Education

Nursing degree

RN licensure

CCM certification preferred

Tools

Microsoft Office

Internet

Job description

TRIUNE Health Group is hiring a Nurse Case Manager in Phoenix, AZ to coordinate resources for catastrophically or chronically ill individuals, aiming for quality, holistic treatment and timely return to work when appropriate.

The role requires RN licensure in the state, 3+ years of clinical experience, CCM preferred. You will communicate with patients, families, and providers, and travel up to 90% of the time. A supportive, family-owned culture with strong benefits is offered.