Gallagher Bassett
Field Nurse Case Manager - Santa Ana, CA
Gallagher Bassett, Santa Ana, California, United States, 92725
Overview
Field Nurse Case Manager position at Gallagher Bassett. The role 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 the injured employee to work. This position will cover the Santa Ana territory with a travel radius of up to 2 hours. 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 Required
Nursing or medical degree from an accredited institution with an active Registered Nursing license or medical license within the state of practice or states in which case management is performed 2-4 years of work experience Responsible for completing required and applicable training, in order to maintain proficiency and licensing requirements Able to travel to appointments within approximately a 2 hour radius Intermediate to advanced computer skills; Microsoft Office, Outlook, etc Desired
Bachelor\'s degree preferred Worker\'s Compensation experience is preferred Certification in related field preferred 1-3 years of clinical experience preferred 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 Compensation And Benefits
Base pay range: $69,000.00/yr - $103,500.00/yr We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by factors including experience, education, geography, complexity, and hours. In addition to salary, Gallagher Bassett offers a wide range of 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 for wellbeing Charitable matching gift program And more We value inclusion and diversity. Gallagher is an equal opportunity employer and complies with applicable laws to provide reasonable accommodations where needed.
#J-18808-Ljbffr
Field Nurse Case Manager position at Gallagher Bassett. The role 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 the injured employee to work. This position will cover the Santa Ana territory with a travel radius of up to 2 hours. 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 Required
Nursing or medical degree from an accredited institution with an active Registered Nursing license or medical license within the state of practice or states in which case management is performed 2-4 years of work experience Responsible for completing required and applicable training, in order to maintain proficiency and licensing requirements Able to travel to appointments within approximately a 2 hour radius Intermediate to advanced computer skills; Microsoft Office, Outlook, etc Desired
Bachelor\'s degree preferred Worker\'s Compensation experience is preferred Certification in related field preferred 1-3 years of clinical experience preferred 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 Compensation And Benefits
Base pay range: $69,000.00/yr - $103,500.00/yr We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by factors including experience, education, geography, complexity, and hours. In addition to salary, Gallagher Bassett offers a wide range of 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 for wellbeing Charitable matching gift program And more We value inclusion and diversity. Gallagher is an equal opportunity employer and complies with applicable laws to provide reasonable accommodations where needed.
#J-18808-Ljbffr