Nurse Case Manager: Remote Care Coordination Leader

TRIUNE Health Group; Tennessee; On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Vacation & holidays

401(k) match

Medical, dental, and vision coverage

Disability insurance

Employee assistance

Home office equipment

Mileage reimbursement

Job summary

TRIUNE Health Group is seeking a Nurse Case Manager in Tennessee to coordinate comprehensive medical care for catastrophically or chronically ill individuals, with a focus on timely return-to-work when appropriate. The role requires strong leadership, exceptional communication, and regulatory knowledge.

You will collaborate with patients, physicians, employers, and referral sources, ensuring cost-effective, quality care while leveraging case management processes and available resources.

Qualifications

• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• Fluency in 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.

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

Methodical

Analytical & Organizational

MS Office

Professionalism

Initiative

Dependability

Education

RN licensure (state)

BSN or nursing degree

3+ years clinical experience

CCM preferred

Tools

Microsoft Office Suite

Job description

TRIUNE Health Group is seeking a Nurse Case Manager in Tennessee to coordinate comprehensive medical care for catastrophically or chronically ill individuals, with a focus on timely return-to-work when appropriate. The role requires strong leadership, exceptional communication, and regulatory knowledge.

You will collaborate with patients, physicians, employers, and referral sources, ensuring cost-effective, quality care while leveraging case management processes and available resources.