Field Nurse Case Manager - Chattanooga, TN Base pay range
$64,000.00/yr - $96,000.00/yr
Introduction Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.
We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply.
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 Chattanooga, TN area with a travel radius of up to 2 hours .
How You'll Make An Impact 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.
Qualifications 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 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 a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Minimum core benefits vary by job level and may include:
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
Other benefits include digital mental health services (Talkspace), flexible work hours, training programs, Gallagher Thrive program, charitable matching gift program, and more. The benefits summary applies to full-time positions; details for part-time roles will be provided during the selection process.
Equal Opportunity Gallagher embraces our employees’ diverse identities, experiences and talents. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics as defined by applicable laws. Reasonable accommodations will be made for known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.