Remote Nurse Case Manager: Care Coordination Leader

TRIUNE Health Group; Virginia (MN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Time Off

401(k) match

Insurance: Medical

Disability Insurance

Employee Assistance Program

Home office setup

Travel reimbursement

Job summary

TRIUNE Health Group is seeking a Nurse Case Manager to coordinate resources for catastrophically or chronically ill or injured individuals, with a focus on cost-effective, holistic treatment goals and timely return-to-work when appropriate.

The role requires RN licensure, 3+ years of clinical experience, and CCM preferred. The position involves extensive travel (up to 90%), collaboration with physicians, employers, and care teams, and adherence to HIPAA and related regulations.

Qualifications

• RN licensure in the state of operation.
• Three or more years of recent clinical experience.
• CCM certification preferred.
• Fluency in English (speaking, reading and writing).

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 skills

Organizational skills

MS Office

Dependability

Initiative

Education

Registered Nurse (RN)

Nursing degree

English fluency

CCM preferred

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

TRIUNE Health Group is seeking a Nurse Case Manager to coordinate resources for catastrophically or chronically ill or injured individuals, with a focus on cost-effective, holistic treatment goals and timely return-to-work when appropriate.

The role requires RN licensure, 3+ years of clinical experience, and CCM preferred. The position involves extensive travel (up to 90%), collaboration with physicians, employers, and care teams, and adherence to HIPAA and related regulations.