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.