Nurse Case Manager - Kansas City Area

Position: Nurse Case Manager – Kansas City Area Location: Kansas City, KS Job Id: 191 | # of Openings: 0 Summary of Position The Nurse Case Manager coordinates resources and supports individuals who have sustained work‑related injuries through assessment, care coordination, advocacy, and communication with healthcare providers, employers, payers, and other stakeholders. The role focuses on facilitating appropriate medical treatment, promoting recovery, and supporting safe and timely return‑to‑work outcomes. Essential Duties and 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. Assist in evaluating treatment plans for appropriateness, medical necessity, and cost‑effectiveness under the guidance of experienced case management professionals. Facilitate care, such as negotiating and coordinating the delivery of durable medical equipment and home health services, ensuring clear communication. Participate in evaluating rehabilitation and community resources to support patient recovery and return‑to‑work goals. 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 but not limited to AIDS, cancer, spinal cord injuries, diabetes, head injuries, back injuries, hand injuries, and burns. Possess a valid driver’s license with the ability to travel 90% of the time. Perform other duties as assigned. Additional Essential Duty (HIPAA and Workspace Requirements) Maintain a dedicated, secure workspace that protects the confidentiality of HIPAA‑protected information and complies with company privacy and security standards. Ensure printed documents containing protected health information are stored securely and disposed of appropriately in accordance with HIPAA requirements and company policies. Job Qualifications Skills and Abilities Demonstrated ability to work independently while seeking guidance when needed. Strong critical thinking and problem‑solving skills. Excellent interpersonal and communication skills. Desire to learn and grow within the field of case management. Excellent verbal and written communication skills, including the ability to interact effectively with patients, customers, and fellow employees via phone, email, in‑person, and formal presentations. Methodical in accomplishing job‑related goals. Strong analytical and organizational skills, including the ability to multitask with attention to detail. In‑depth knowledge of multi‑software packages, notably Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) and the Internet. Maintain a friendly, professional attitude at all times. Exercise initiative and be solution‑oriented, while keeping management up‑to‑date on current situations or opportunities. Dependability and adaptability. Education and Experience Graduate of an accredited school of nursing. Current RN licensure in the state of operation. Fluency in English (speaking, reading, and writing). One or more years of nursing experience preferred. New graduates with strong clinical rotations and demonstrated interest in case management may also be considered. Experience in medical‑surgical, rehabilitation, home health, occupational health, emergency, or acute care settings is preferred but not required. Case management experience not required; training will be provided. CCM certification not required but may be pursued after employment. Certificates, Licenses, Registrations Preferred: COHN, COHN‑S, and CDMS (though not mandatory). Physical Demands This position requires a combination of computer‑based work and field activities. Employees must be able to regularly operate standard office equipment including computers, keyboards, phones, printers, and mobile devices. The role requires prolonged periods of sitting, typing, and telephone communication, as well as frequent standing, walking, driving, and traveling to attend appointments, meetings, and field visits. Employees may occasionally lift, carry, or transport lightweight work materials (typically no more than 10 pounds). Perks & Benefits Generous Time Off: 20 days of vacation plus 8.5 paid holidays. Retirement Savings: 401(k) match. Comprehensive Insurance: Medical, dental, and vision coverage. Disability Coverage: Short‑Term (STD) and Long‑Term Disability (LTD) insurance. Employee Support: Employee Assistance and Referral Program. Work‑from‑Home Essentials: Home office equipment, including a laptop and desktop monitor. Travel Perks: Mileage and travel reimbursement. TRIUNE Health Group is an equal opportunity employer and a values‑driven organization. Compensation is competitive and commensurate with experience. #J-18808-Ljbffr TRIUNE Health Group Inc