Nurse Consultant Telephonic Case Management, OHC Job at Gallagher, Franklin, TN

OWFibFdia3RQSUNxYTc4bGI3NFY0Q0Y3Snc9PQ==
  • Gallagher
  • Franklin, TN

Job Description



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

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

How you'll make an impact

  • 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.
  • 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.
  • Analyzes results of treatment and medical status and reviews incoming provider reports.
  • Identifies suitable employment opportunities consistent with individual's medical limitations/capabilities, aptitudes, and interests to restore individual to maximum independence.
  • Generates reports to referral source to communicate case status, findings, and recommendations. Generates correspondence to referral source, medical providers, injured worker and other parties involved in the rehabilitation process.
  • Participates in case conferences over the telephone, and participates in internal and external training to enhance and maintain medical proficiency.
  • Documents case management observations, assessment, and plan in system.
  • 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.
About You

Required:

  • 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.

Preferred:

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

Behaviors:

  • 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.
  • Computer literate.
  • Demonstrates good time management skills. Self starter.

#LI-CW1

Compensation and benefits

On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

  • Minimum of 25 days holiday, plus bank holidays, and the option to ‘buy’ extra days
  • Defined contribution pension scheme, which Gallagher will also contribute to
  • Life insurance, which will pay 4x your basic annual salary, which you can top-up to 10x
  • Income protection, we’ll cover up to 50% of your annual income, with options to top up
  • Health cash plan or Private medical insurance

Other benefits include:

  • Three fully paid volunteering days per year
  • Employee Stock Purchase plan, offering company shares at a discount
  • Share incentive plan, HMRC approved, tax effective, stock purchase plan
  • Critical illness cover
  • Discounted gym membership, with over 3,000 gyms nationally
  • Season ticket loan
  • Access to a discounted voucher portal to save money on your weekly shop or next big purchase
  • Emergency back-up family care
  • And many more…

We value inclusion and diversity

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organisation. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher is Disability Confident Committed. We have pledged to make sure our recruitment process is inclusive and accessible, in addition to supporting our existing employees with any long-term health conditions or disabilities.

We understand that applicants may have disabilities, if you do, you may find some parts of the recruitment process more challenging than others. Don’t worry, we’re here to help, however, we can only do this if you let us know.

Should you require reasonable adjustments to your application, please get in touch with TAGlobalSupport@ajg.com . If you’d prefer to speak on the phone, please request a call back, leaving details, so we get in touch.

Our employing entity, Arthur J. Gallagher Services (UK) Limited, is proud to be accredited as a Living Wage employer with the Living Wage Foundation. We are committed to diversity and opportunity for all and are opposed to any form of less favourable treatment on the grounds of gender or gender identity, marital status, civil partnership status, parental status, race, ethnicity, colour, nationality, disability, sexual orientation, religion/ belief, age and those with caring responsibilities.

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 race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to 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.

Job Tags

Local area, Live out,

Similar Jobs

Royal Caribbean Group

Photo Artist Job at Royal Caribbean Group

A Photo Artist is responsible for the successful capture, production, and overall guest experience of Photography on Celebrity Cruises. Photo Artists will capture ad hoc or private moments with guests onboard or ashore and have them produced and available for sale onboard... 

Philadelphia Museum of Art

Gallery Teacher (K-12 Programs) (Part-Time) Job at Philadelphia Museum of Art

 ...Are Committed to an Inclusive Workplace At the Philadelphia Museum of Art, we actively seek to employ a diverse group of people who...  ...Gallery Teachers are energetic, welcoming, and empathetic educators who lead participatory gallery experiences that encourage students... 

Quintessa Marketing

Vice President of Digital Marketing Job at Quintessa Marketing

 ...battle-tested, ROI-obsessed, data-driven leader to own our digital marketing machine. As VP of Digital Marketing , you'll be responsible...  ...and communicate results clearly to execs ~ Background in legal marketing or other high-compliance, high-competition verticals... 

Cathect Communications

Telecommunication Specialist Job at Cathect Communications

 ...geographically distributed IT network and telephony infrastructure, requiring occasional travel. The ability to analyze the current telecom environment, provide feedback, make recommendations for improvements, and implement changes are expected. Qualifications... 

Airwallex

Executive Recruiter Job at Airwallex

 ...over 150,000 businesses worldwide including Brex, Rippling, Navan, Qantas, SHEIN and many more with fully integrated solutions to manage everything from business accounts, payments, spend management and treasury, to embedded finance at a global scale. Proudly...