Nurse Case Manager

2 weeks ago


Detroit, Michigan, United States Triune Health Group Full time
Job Summary

We are seeking a skilled Nurse Case Manager to join our team at Triune Health Group. As a key member of our healthcare team, you will play a vital role in coordinating resources and creating cost-effective options for individuals with catastrophic or chronic illnesses.

Key Responsibilities
  • Provide medical case management to individuals through coordination with patients, physicians, healthcare providers, employers, and referral sources.
  • Utilize the steps of case management to assess, plan, implement, evaluate, and outcome individual progress.
  • Evaluate individual treatment plans for appropriateness, medical necessity, and cost-effectiveness.
  • Facilitate care by negotiating and coordinating the delivery of durable medical equipment and home health services.
  • Assess rehabilitation facilities for appropriateness of care, facilitate transportation, and coordinate architectural assessments of patients' homes when required.
  • Stay current with medical terminology and federal and state laws related to healthcare, 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.
  • Travel 90% of the time, possessing a valid driver's license.
Requirements
  • Graduate of an accredited school of nursing.
  • Current RN licensure in the state of operation.
  • Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology.
  • Preferred certifications: COHN, COHN-S, CCM, and CDMS.


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