Gallagher
Location
Anaheim, California
The Field Nurse Case Manager coordinates medical evaluations and treatment plans for injured workers to facilitate their return to work. They maintain regular communication with employers, physicians, and insurance providers while documenting case progress and ensuring compliance with quality standards.
Candidates must hold a nursing or medical degree with an active license and possess 2-4 years of relevant work experience. Proficiency in Microsoft Office and the ability to travel within a 2-hour radius are required.
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 Anaheim territory 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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