Nurse Consultant - Buffalo, NY

Company: Gallagher
Location: Buffalo
Posted on: May 28, 2023

Job Description:

Intro
Gallagher Bassett is the world's premier provider of risk and claims management services. We believe that - with proper management - a world of risk becomes a world of possibilities. It becomes a world where businesses and organizations are freed to do what they do best. To build. To serve. To move forward. Knowing the responsibilities of today and their people are being cared for.
So wherever opportunity and need come next in this world, Gallagher Bassett is there. From Walla Walla, Washington to Wallaroo, South Australia. More than 5,000 of the most dedicated professionals backed by the industry's most powerful technology. Each with a single and powerful purpose: To GUIDE those suffering a loss to the best outcomes for their health and financial wellbeing. To GUARD our clients' assets as the trusted stewards of their risk and claims management programs. To GO BEYOND expectations in the continuous pursuit of a better way.
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 Buffalo 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.
        
        
        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.
        #LI-CW1
        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.

Keywords: Gallagher, Buffalo , Nurse Consultant - Buffalo, NY, Healthcare , Buffalo, New York