Nurse Case Manager - Remote-Ready to Impact Lives

TRIUNE Health Group; Austin (TX); On-site; USD 75,000 - 95,000; Full time

Benefits offered by this job

Time off: 20 days vacation and 8.5 hol

401(k) match

Medical, dental, vision

Short/Long-term disability

Employee assistance program

Home office equipment

Travel reimbursement

Job summary

TRIUNE Health Group is seeking a Nurse Case Manager to coordinate resources and create flexible, cost-effective options for catastrophically or chronically ill or injured individuals, enabling timely return to work when appropriate.

The role involves case management across patients, physicians, employers, and referral sources, with emphasis on communication, compliance with HIPAA, and driving optimal outcomes. Travel up to 90% is required.

Qualifications

• Graduate of an accredited school of nursing.
• Current RN licensure in the state of operation.
• 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 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, ensuring accessibility for individuals.
• Possess a valid driver’s license with the ability to travel 90% of the time.

Skills

Leadership

Verbal & written communication

Analytical thinking

Organizational skills

MS Office proficiency

Interpersonal skills

Initiative

Dependability

Education

RN licensure

CCM preferred

Tools

Microsoft Office

Internet

Job description

TRIUNE Health Group is seeking a Nurse Case Manager to coordinate resources and create flexible, cost-effective options for catastrophically or chronically ill or injured individuals, enabling timely return to work when appropriate.

The role involves case management across patients, physicians, employers, and referral sources, with emphasis on communication, compliance with HIPAA, and driving optimal outcomes. Travel up to 90% is required.