Field Nurse Case Manager

Introduction


Overview

Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with employers and claims professionals to manage medical care in order to return injured employee to work.  This position will cover the Raleigh, NC area with a travel radius of up to 2 hours.

How you'll make an impact

Key Responsibilities:  

• Coordinating medical evaluation and treatment
• Meeting with physician and injured worker to collaborate on treatment plan and to discuss goals for return to work
• Keeping employer and referral source updated regarding medical treatment and work status
• Coordinating ancillary services, e.g. home health, durable medical equipment, and physical therapy.   Communicates with employers to determine job requirements and to explore modified or alternate employment. 
• Discusses and evaluates results of treatment plan with physician and injured worker using Evidence Based Guidelines to ensure effective outcome. 
• Documents case management observations, assessment, and plan. 
• Generates reports for referral source to communicate case status and recommendations. 
• Generates ongoing correspondence to referral source, employer, medical providers, injured worker, and other participants involved in the injured worker's treatment plan.  
• May participate in telephonic case conferences.  
• Maintains a minimum caseload of 35 files, and 150 monthly billable hours, with minimum 95% quality compliance.

About You

Required:

• 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 CM is performed.

Desired:

• Bachelor's degree preferred.  
• Worker's Compensation experience is preferred.
• Certification in related field preferred.
• 1-3 years of clinical experience preferred.
• Able to travel to appointments within approximately a 2 hour radius.  

Work Traits:

• Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Advanced written and oral communication skills, along with organizational and leadership skills.
• Self-directed and proactively manage assigned case files.
• Demonstrates strong time management skills.

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Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

• Competitive compensation
• Comprehensive benefits programs designed to support your well-being 
• Career development opportunities and ongoing learning 
• A collaborative, people-first culture with accessible leadership 
• The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)