Nurse Case Manager (Part-Time/Full-Time) - San Antonio, TX
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. 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.
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,