Nurse Case Manager

4 weeks ago


Sacramento, California, United States TRIUNE Health Group Inc Full time
Job Title: Nurse Case Manager

At TRIUNE Health Group Inc, we are seeking a skilled and compassionate Nurse Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in coordinating resources and creating personalized treatment plans for individuals with complex medical needs.

Key Responsibilities:
  • Provide medical case management to individuals through coordination with patients, physicians, and other healthcare providers.
  • Utilize the steps of case management to assess, plan, implement, and evaluate individual treatment plans.
  • Evaluate 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 and coordinate transportation and architectural assessments as needed.
  • Stay current with medical terminology and federal and state laws related to healthcare, workers' compensation, and other relevant regulations.
  • Utilize technology to prepare organized and timely reports while complying with safety rules and regulations.
  • Research medical and community resources for individuals with catastrophic or chronic diagnoses.
  • Possess a valid driver's license and be able to travel 90% of the time.
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.
  • CCM certification preferred.
Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.



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