Nurse Case Manager - Chicago Bilingual

TRIUNE Health Group; Illinois; On-site; USD 82,000 - 90,000; Full time

Job summary

TRIUNE Health Group is seeking a Nurse Case Manager in Chicago who is bilingual in Spanish and English. The role focuses on providing comprehensive medical case management for catastrophically ill or injured individuals. Candidates must have an accredited nursing background and strong communication skills to ensure effective patient interaction.

Benefits

Generous Time Off: 20 days of vacation plus 8.5 paid holidays

401(k) match

Medical, dental, and vision coverage

Disability coverage

Employee Assistance and Referral Program

Home office equipment provided

Mileage and travel reimbursement

Qualifications

• Fluency in both Spanish and English required.
• 3+ years clinical experience preferred.
• Possess a valid driver's license.

Responsibilities

• Provide medical case management in both languages.
• Evaluate treatment plans for appropriateness and medical necessity.
• Research community resources for chronic diagnoses.

Skills

Bilingual (Spanish and English)

Leadership

Communication

Analytical skills

Organizational skills

Education

Graduate of an accredited school of nursing

Current RN licensure in the state of operation

CCM preferred

Tools

Microsoft Office Suite

Job description

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About TRIUNE Health Group

TRIUNE Health Group is a nationally recognized managed healthcare company with over 35 years of experience. As a mission-driven, second-generation family-owned business, we are dedicated to improving lives by reducing the impact of injuries, enhancing health and wellness, and lowering healthcare and workers' compensation costs.

About TRIUNE Health Group

TRIUNE Health Group is a nationally recognized managed healthcare company with over 35 years of experience. As a mission-driven, second-generation family-owned business, we are dedicated to improving lives by reducing the impact of injuries, enhancing health and wellness, and lowering healthcare and workers' compensation costs.

At TRIUNE, we believe that every team member is essential to our success. We foster a supportive and collaborative environment where employees are valued, empowered, and provided with the tools they need to thrive—both professionally and personally.

Why Join TRIUNE Health Group as a Nurse Case Manager?

• Be part of a well-established, family-owned company that prioritizes people over profits.
• Experience our culture of People Helping People, where every team member is treated with dignity and respect.
• Enjoy the stability, support, and resources needed to succeed while maintaining a healthy work-life balance.
  
  
  

Perks & Benefits:

• Generous Time Off: 20 days of vacation plus 8.5 paid holidays
• Retirement Savings: 401(k) match to help you plan for the future
• Comprehensive Insurance: Medical, dental, and vision coverage
• Disability Coverage: Short-Term (STD) and Long-Term Disability (LTD) insurance
• Employee Support: Employee Assistance and Referral Program
• Work-from-Home Essentials: Home office equipment, including a laptop and desktop monitor
• Travel Perks: Mileage and travel reimbursement
  
  
  

TRIUNE Health Group is an equal opportunity employer and a values-driven organization. Compensation is competitive and commensurate with experience.

I. Summary of Position:

The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate. Fluency in both Spanish and English is required to effectively communicate with Spanish-speaking patients, providers, and stakeholders.

II. Essential Duties and Responsibilities:

• Provide medical case management to individuals through coordination with the patient, physicians, other health care providers, the employer, and the referral source, in both Spanish and English.
• 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 in both languages.
• 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 Spanish-speaking 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 Spanish-speaking individuals.
• Possess a valid driver’s license with the ability to travel 90% of the time.
• Perform other duties as assigned.
  
  
  

III. Job Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Skills and Abilities:

• Proven leadership skills.
• Excellent verbal and written communication skills in both Spanish and English, including the ability to interact effectively with Spanish-speaking patients, customers, and fellow employees via phone, email, in-person, and formal presentations.
• Methodical in accomplishing job-related goals.
• Strong analytical and organizational skills, including the ability to multitask with attention to detail.
• In-depth knowledge of multi-software packages, notably Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and the Internet.
• Maintain a friendly, professional attitude at all times.
• Exercise initiative and be solution-oriented, while keeping management up-to-date on current situations or opportunities.
• Dependability and adaptability.
  
  
  

Education and Experience:

• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• Fluency in both Spanish and English (speaking, reading, and writing).
• Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology.
• CCM preferred.
  
  
  

Certificates, Licenses, Registrations:

While not mandatory, individuals with one or a combination of the following certifications are preferred: COHN, COHN-S, and CDMS.

IV. Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The base pay range for this role is $82,000.00 to $90,000.00.

The base salary range/hourly rate listed is dependent on job-related, non-discriminatory factors such as experience, education, and skills. This position is also eligible for incentive compensation awards.

You may be eligible for the following competitive benefits: medical, dental, vision, life, accident & disability, short and long-term disability, paid holidays, paid time off and 401 (k).

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Wellness and Fitness Services

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