Gallagher Nurse Case Manager in Phoenix, Arizona
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.
Ashton Tiffany is now Risk Program Administrators, a Gallagher company, and has been making risk management fun (seriously) since 1995. Our specialty areas include insurance pool administration, self-insurance services, and outsourced risk management programs.
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 coordinate referrals to service providers for appropriate medical management (ex: TCM, UM , FCM ,etc)
Nurse will provide assistance in the application of ODG guidelines 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 include diagnostic results, progress notes, medication therapy, physical therapy notes, functional capacity exams and IME reports.
Nurse will work with the claim professional in the creation 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 professional assistance to the branch each week.
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.
Bachelor's degree preferred
Worker's Compensation experience is preferred
Certification in related field preferred
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
Demonstrates good time management skills
U.S. Eligibility Requirements:
Interested candidates must submit an application and resume/CV online to be considered
Must be 18 years of age or older
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.
Organization: GGB US - Great Lakes Region
Title: Nurse Case Manager
Requisition ID: 72830