Nurse Consultant Telephonic Case Management
About the position Responsibilities • Provides medical management to workers compensation injured employees. • Performs case management through telephonic contact with all medical providers, employers, claims professionals and ancillary service providers. • Manage medical care in order to return injured employee to preinjury status. • Reviews services of medical and rehabilitation providers and arranges for and coordinates appropriate evaluation, treatment, and counseling. • Communicates with physician, injured worker, employer, referral source, and any other resource involved in worker's rehabilitation program. • Evaluates home care services and equipment and determines need for home modifications. • Coordinates home care. • Communicates with employers to determine job requirements of pre-injury occupation and to explore light-duty, modified, or alternate employment as necessary. • Analyzes results of treatment and medical status and reviews incoming provider reports. • Identifies suitable employment opportunities consistent with individual's medical limitations/capabilities, aptitudes, and interests to restore individual to maximum independence. • Generates reports to referral source to communicate case status, findings, and recommendations. • Generates correspondence to referral source, medical providers, injured worker and other parties involved in the rehabilitation process. • Participates in case conferences over the telephone, and participates in internal and external training to enhance and maintain medical proficiency. • Documents case management observations, assessment, and plan in system. • Must maintain a case load to support at minimum 145 hours of billable or inventory of minimum of 72 files monthly with 95% Quality compliance expected. Requirements • Degree from applicable program of training and a minimum of 3 years clinical experience in an acute care setting required. • Active Registered Nursing license or equivalent within the state of practice or states in which Case Management is performed. Nice-to-haves • Bachelor's degree preferred. • Worker's Compensation experience is preferred. • Certification in related field preferred. Benefits • Medical/dental/vision plans, which start from day one! • Life and accident insurance • 401(K) and Roth options • Tax-advantaged accounts (HSA, FSA) • Educational expense reimbursement • Paid parental leave • Digital mental health services (Talkspace) • Flexible work hours (availability varies by office and job function) • Training programs • Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing • Charitable matching gift program Apply tot his job Apply To this Job