Gallagher
Location
Tupelo, Mississippi
The Field Nurse Case Manager provides medical management to workers' compensation injured employees through telephonic and in-person case management, coordinating medical care with providers, employers, and claims professionals to facilitate the employee's return to work. Key duties include coordinating evaluations, discussing treatment plans based on guidelines, documenting observations, and generating status reports for all involved parties.
Candidates must possess a required nursing or medical degree from an accredited institution along with an active Registered Nursing license or medical license in the state of practice, coupled with 2-4 years of work experience. The role demands the ability to travel up to a two-hour radius and proficiency in intermediate to advanced computer skills, such as Microsoft Office and Outlook.
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 Columbus, MS area with a travel radius of up to 2 hours.
How you'll make an impact
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.
Compensation and benefits
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