Nurse Case Manager - Nashville, TN

We need to output HTML fragment with sections for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes: About TRIUNE Health Group (intro). Then "Why Join TRIUNE Health Group as a Nurse Case Manager?" with perks & benefits list. Then "I. Summary of Position:" (summary). Then "II. Essential Duties and Responsibilities:" (list). Then "III. Job Qualifications:" includes Skills and Abilities, Education and Experience, Certificates etc. Also "Physical Demands" (maybe not needed). Also "Compensation is competitive and commensurate with experience." (Pay). No specific salary numbers, just "competitive and commensurate with experience" - that is placeholder, we should NOT create Pay section if it's just that phrase? The instruction: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. The posting says "Compensation is competitive and commensurate with experience." That's filler/placeholder, so we should NOT create a Pay section. Benefits: they list perks & benefits: generous time off, retirement savings, comprehensive insurance, disability coverage, employee support, work-from-home essentials, travel perks. That's specific. So we should include Benefits section. Schedule: not mentioned. So omit Schedule. We need headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits. Possibly also Summary? The instruction says use headings for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't require Summary heading; we could embed summary in About the role or Responsibilities? Probably About the role can include summary. But we have a separate "Summary of Position:" which is substantive. Could treat that as About the role. We'll put summary under About the role. Responsibilities: from II. Essential Duties and Responsibilities. Requirements: maybe from Education and Experience? Actually Requirements could be education/experience/licensure. Qualifications maybe skills and abilities? The instruction lists both Requirements and Qualifications as possible headings. We need to decide what to put where. The posting has "Skills and Abilities:" and "Education and Experience:" and "Certificates, Licenses, Registrations:" under Job Qualifications. We could map: - Requirements: Education and Experience (including licensure, years experience, etc.) - Qualifications: Skills and Abilities (leadership, communication, etc.) plus maybe certificates. But also there is a separate "Skills" heading possible. The instruction list includes Skills as a possible heading. So we could have: - About the role (summary) - Responsibilities (duties) - Requirements (education/experience/licensure) - Skills (skills and abilities) - Qualifications (certificates/licenses preferred) - Benefits (perks & benefits) We need to avoid duplication. Let's extract content. About TRIUNE Health Group intro: "TRIUNE Health Group is a nationally recognized managed healthcare company with over 35 years of experience. As a mission-driven, second-generation family-owned business, we are dedicated to improving lives by reducing the impact of injuries, enhancing health and wellness, and lowering healthcare and workers' compensation costs. At TRIUNE, we believe that every team member is essential to our success. We foster a supportive and collaborative environment where employees are valued, empowered, and provided with the tools they need to thrive—both professionally and personally." Why Join TRIUNE Health Group as a Nurse Case Manager? includes bullet points: "Be part of a well-established, family-owned company that prioritizes people over profits. Experience our culture of People Helping People, where every team member is treated with dignity and respect. Enjoy the stability, support, and resources needed to succeed while maintaining a healthy work-life balance." Then "Perks & Benefits:" list. We could combine the intro and why join into About the role. Summary of Position: "The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate." We'll put that as part of About the role maybe after intro. Responsibilities: list each duty from II. Let's list them: - 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 but not limited to 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. Requirements (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). - Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology. - CCM preferred. Skills (Skills and Abilities): - Proven leadership skills. - 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. Qualifications (Certificates, Licenses, Registrations): - While not mandatory, individuals with one or a combination of the following certifications are preferred: COHN, COHN-S, and CDMS. Benefits (Perks & Benefits): - Generous Time Off: 20 days of vacation plus 8.5 paid holidays - Retirement Savings: 401(k) match to help you plan for the future - 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 We should not include the equal opportunity employer line, compensation line, physical demands, etc. Now produce HTML fragment with

headings and

• for lists,

  for prose. We need to decide which content is prose vs list. About the role: we have multiple paragraphs; we can wrap each paragraph in

  . Responsibilities: list. Requirements: list. Skills: list. Qualifications: list. Benefits: list. We must not repeat job title as heading. Not include Job ID. Let's craft. HTML:

  About the role

  TRIUNE Health Group is a nationally recognized managed healthcare company with over 35 years of experience. As a mission-driven, second-generation family-owned business, we are dedicated to improving lives by reducing the impact of injuries, enhancing health and wellness, and lowering healthcare and workers' compensation costs. At TRIUNE, we believe that every team member is essential to our success. We foster a supportive and collaborative environment where employees are valued, empowered, and provided with the tools they need to thrive—both professionally and personally.

  Why Join TRIUNE Health Group as a Nurse Case Manager? Be part of a well-established, family-owned company that prioritizes people over profits. Experience our culture of People Helping People, where every team member is treated with dignity and respect. Enjoy the stability, support, and resources needed to succeed while maintaining a healthy work-life balance.

  The Nurse Case Manager coordinates resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals to facilitate quality, individualized, holistic treatment goals, including timely return to work when appropriate.

  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 but not limited to 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.

  Requirements

  • Graduate of an accredited school of nursing.
  • Current RN licensure in the state of operation.
  • Fluency in English (speaking, reading, and writing).
  • Three or more years of recent clinical experience, preferably in trauma, psychology, emergency, orthopedics, rehabilitation, occupational health, and neurology.
  • CCM preferred.

  Skills

  • Proven leadership skills.
  • 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.