Nurse Consultant Telephonic Case Management

The Nurse Consultant - Telephonic will provide case management through telephonic contact with all medical providers, employers, claims professionals and ancillary service providers. 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.

What You Will Do

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.

Why It Might Be a Fit

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. Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice. Demonstrates good written and oral communications, organizational and leadership skills.

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.
• Bachelor's degree preferred.
• Worker's Compensation experience is preferred.
• Certification in related field preferred.

Benefits

• Medical/dental/vision plans
• 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
• Training programs
• Gallagher Thrive program
• Charitable matching gift program