Nurse Case Manager

Company: Gallagher
Location: Phoenix
Posted on: August 7, 2022

Job Description:

Job Description 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 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary : Responsible to assist the claims professionals with medical aspects of claim management. Essential Duties & Responsibilities: Nurse will provide clinical input into the medical treatment of injured parties and coordiante referrals to service providers for appropriate medical management (ex: TCM, UM , FCM ,etc) Nurse will provide assistance in the application of ODG guidleines and state treatment guidelines. Nurse will provide training sessions for claims professionals and support staff within the branch of assignment. Nurse will intervene with vendors to align services and to evaluate treatment options available. Nurse will review documentation to inlcude diagnostic results, progress notes, medication therapy, physical therapy notes, functional capacity exams and IME reports. Nurse will work with the claim professional in the icreation and interpretation correspondence to and from medical providers and independent medical exam professionals. Nurse will participate in claim roundtable discussions and carrier or employer audits as requested by the manager. Must maintain a minimum of 35 hours of professonal assistance to the branch each week. Required: Associate's degree from an accredited school of nursing Minimum of 3 years clinical experience in an acute care setting Active Registered Nursing license within the state of practice. Desired: Bachelor's degree preferred Worker's Compensation experience is preferred Certification in related field preferred Work Traits: 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 U.S. Eligibility Requirements: Interested candidates must submit an application and resume/CV online to be considered Are you 18 years of age or older or can you demonstrate legal capacity to enter a contract? Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement, which require, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure Gallagher offers 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. Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. 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 applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Additional Information

Keywords: Gallagher, Phoenix , Nurse Case Manager, Executive , Phoenix, Arizona