Nurse Consultant - Newport, Or

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 Newport territory with a travel radius of up to 2 hours.

Key Responsibilities:

• Meeting with physician and injured worker to collaborate on treatment plan and to discuss goals for return to work
• Generates ongoing correspondence to referral source, employer, medical providers, injured worker, and other participants involved in the injured worker's treatment plan.
• Generates reports for referral source to communicate case status and recommendations.
• Keeping employer and referral source updated regarding medical treatment and work status
• May participate in telephonic case conferences.
• 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.
• Maintains a minimum caseload of 35 files, and 145 monthly billable hours, with minimum 95% quality compliance.
• Documents case management observations, assessment, and plan.
• Discusses and evaluates results of treatment plan with physician and injured worker using Evidence Based Guidelines to ensure effective outcome.
• Coordinating medical evaluation and treatment

Required

• Intermediate to advanced computer skills; Microsoft Office, Outlook, etc.
• 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.
• 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.
• 2-4 years of work experience.

Desired:

• Worker's Compensation experience is preferred.
• Bachelor's degree preferred.
• 1-3 years of clinical experience preferred.
• Certification in related field preferred.

Work Traits:

• Demonstrates strong time management skills.
• Advanced written and oral communication skills, along with organizational and leadership skills.
• Demonstrates adequate knowledge of managed care with emphasis on use of criteria, guidelines and national standards of practice.
• Self-directed and proactively manage assigned case files.

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.