Nurse Case Manager - Kansas City Area

Position: Nurse Case Manager - Kansas City Area

Location: Kansas City, KS

Job : 191

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.
• 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

TRIUNE Health Group is an equal opportunity employer and a values-driven organization. Compensation is competitive and commensurate with experience.

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. This position is ideal for a registered nurse seeking to transition into case management and develop expertise through training, mentorship, and hands‑on experience.

• 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, ensuring accessibility for individuals.
• Possess a valid driver’s license with the ability to travel 90% of the time.
• Perform other duties as assigned.

• 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…