Nurse Case Manager: Holistic Care Coordinator

TRIUNE Health Group Inc; United States; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

20 days vacation + 8.5 holidays

401(k) match

Medical, dental, vision insurance

Disability coverage (STD/LTD)

Employee Assistance Program

Home office equipment (laptop +monitor

Mileage & travel reimbursement

Job summary

TRIUNE Health Group is seeking a Nurse Case Manager in Denver, CO. The role coordinates resources and creates flexible, cost-effective plans for catastrophically or chronically ill or injured individuals to facilitate timely return to work.

Responsibilities include coordinating with patients, physicians, employers, and care teams; assessing and planning care; evaluating treatment plans for necessity and cost-effectiveness; and coordinating equipment and home health services.

Qualifications

• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• Fluency in English.
• 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 to individuals through coordination with the 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 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

MS Office

Education

RN licensure (state)

Nursing degree

Tools

MS Office

Job description

TRIUNE Health Group is seeking a Nurse Case Manager in Denver, CO. The role coordinates resources and creates flexible, cost-effective plans for catastrophically or chronically ill or injured individuals to facilitate timely return to work.

Responsibilities include coordinating with patients, physicians, employers, and care teams; assessing and planning care; evaluating treatment plans for necessity and cost-effectiveness; and coordinating equipment and home health services.