Job Information
Gallagher Nurse Consultant - Reno, NV in Reno, Nevada
Intro
Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way , our set of shared values and guiding tenets. A culture driven by our people, over 40,000 strong, serving our clients with customized solutions that will protect them and fuel their futures.
At Gallagher, you can build a career whether it’s with our brokerage division, our benefits and HR consulting division, or our corporate team.
Responsibilities
Position Summary:
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 Reno 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 145 monthly billable hours, with minimum 95% quality compliance.
Qualifications
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.
#LI-HL1
Additional Information
Click Here (https://www.isrvr.com/is/DigitalAssets/EligiblityRequirements/index.html) to review our U.S. Eligibility Requirements
We offer competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function), training programs, matching gift program, and more.