Nurse Consultant Telephonic Case Management
Found in: Resume Library US A2 - 1 week ago
Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.
We believe that every candidate brings something special to the table, including you So, even if you feel that you’re close but not an exact match, we encourage you to apply.
Overview:
The ideal candidate will hold a compact nursing license, as well as CA, NY or IL licensure.
Responsibilities:
Provides medical management to workers compensation injured employees. Performs case management through telephonic contact with all medical providers, employers, claims professionals and ancillary service providers. Manage medical care in order to return injured employee to preinjury status. Reviews services of medical and rehabilitation providers and arranges for and coordinates appropriate evaluation, treatment, and counseling. Communicates with physician, injured worker, employer, referral source, and any other resource involved in worker's rehabilitation program. Evaluates home care services and equipment and determines need for home modifications. Coordinates home care. Communicates with employers to determine job requirements of pre-injury occupation and to explore light-duty, modified, or alternate employment as necessary. Analyzes results of treatment and medical status and reviews incoming provider reports. Identifies suitable employment opportunities consistent with individual's medical limitations/capabilities, aptitudes, and interests to restore individual to maximum independence. Generates reports to referral source to communicate case status, findings, and recommendations. Generates correspondence to referral source, medical providers, injured worker and other parties involved in the rehabilitation process. Participates in case conferences over the telephone, and participates in internal and external training to enhance and maintain medical proficiency. Documents case management observations, assessment, and plan in system. Must maintain a case load to support at minimum 145 hours of billable or inventory of minimum of 72 files monthly with 95% Quality compliance expected.
Qualifications:
Required:
Degree from applicable program of training and a minimum of 3 years clinical experience in an acute care setting required.
Active Registered Nursing license or equivalent within the state of practice or states in which Case Management is performed.
Preferred:
Bachelor's degree preferred.
Worker's Compensation experience is preferred.
Certification in related field preferred.
Behaviors:
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.
#LI-CW1
Additional Information:
On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.
Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:
Medical/dental/vision plans, which start from day one
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Other benefits include:
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program
And more...
We value inclusion and diversity
to review our U.S. Eligibility Requirements
Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.
Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.
Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.
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 person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
-
Registered Nurse Case Manager-Home Health
1 week ago
Philadelphia, United States Public Health Management Corporation Full timeRegistered Nurse Case Manager-Home HealthPosition Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Essential Functions: * Demonstrates knowledge of...
-
Registered Nurse Case Manager-Home Health
1 week ago
Philadelphia, United States Public Health Management Corporation Full timeRegistered Nurse Case Manager-Home HealthPosition Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Essential Functions: * Demonstrates knowledge of...
-
Registered Nurse Case Manager-Home Health
Found in: Jooble US O C2 - 1 week ago
Philadelphia, PA, United States Public Health Management Corporation Full timeRegistered Nurse Case Manager-Home Health Position Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Demonstrates knowledge of and applies...
-
Registered Nurse Case Manager-Home Health
Found in: Jooble US O C2 - 1 week ago
Philadelphia, PA, United States Public Health Management Corporation Full timeRegistered Nurse Case Manager-Home Health Position Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Essential Functions: * Demonstrates...
-
Telephone Dispatcher
8 hours ago
Philadelphia, United States Temple University Health System Full timeThe dispatcher in the call center is responsible for answering telephone calls in the ambulatory care call center, typing the messages in Epic. Care and routing the calls to the appropriate department or the Registered Nurse for complete resolution. Dispatcher, Telephone, Dispatch, Driver
-
Telephone Dispatcher
7 hours ago
Philadelphia, United States Temple University Health System Full timeThe dispatcher in the call center is responsible for answering telephone calls in the ambulatory care call center, typing the messages in EpicCare and routing the calls to the appropriate department or the Registered Nurse for complete resolution. Incorporates the concepts of the Hospital's Customer Service Program into all aspects of patient care...
-
Registered Nurse Case Manager-Home Health
1 week ago
Philadelphia, PA, United States Public Health Management Corporation Full timeRegistered Nurse Case Manager-Home HealthPosition Summary: Responsible for providing nursing care in the patients' home educating the patient and families on their disease process, medications, and treatments. Providing ongoing assessment, monitoring and treatment to patients in the privacy of their homes. Essential Functions: * Demonstrates knowledge of...
-
Case Manager, Immigration
Found in: Resume Library US A2 - 2 weeks ago
Philadelphia, Pennsylvania, United States The GEO Group Full timeBenefits Information: Benefits As a Case Manager, you will be part of a stable, established, and yet still growing organization with a great deal of diversification, which will present you with a range of different challenges. Since we do prefer to promote from within, you will have opportunities to move to other facilities as well as to different divisions...
-
Travel Nurse
Found in: Talent US A C2 - 1 week ago
Philadelphia, United States Stability Healthcare Full timeStability Healthcare is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Philadelphia, PA. Shift: 5x8 hr days Start Date: 05/20/2024 Duration: 13 weeks Pay: $2315 / Week About Stability Healthcare:Stability HealthCare is a premier Per Diem and Travel Nurse Company. We provide the most qualified Nurses with great...
-
Registered Nurse/Case Manager
7 days ago
Philadelphia, United States Mitchell Martin Full timeOur client is seeking for an RN Case Manager Type: Contract Location: Philadelphia, PA Requirements Graduate of an accredited school of nursing required Bachelors Degree preferred 2 Years experience in area of clinical specialty preferred PA Registered Nurse License required BLS - Basic Life Support Must be AHA required Please email:...
-
TELEPHONE DISPATCHER
Found in: Careerbuilder One Red US C2 - 5 hours ago
Philadelphia, PA, USA, United States Temple University Health System Full timeThe dispatcher in the call center is responsible for answering telephone calls in the ambulatory care call center, typing the messages in Epic. Care and routing the calls to the appropriate department or the Registered Nurse for complete resolution. Dispatcher, Telephone, Dispatch, Driver
-
RN CASE MANAGER POOL
1 week ago
Philadelphia, United States Temple University Hospital Full timeRN CASE MANAGER POOL - Temple University HospitalIn collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to the...
-
Case Manager
1 week ago
Philadelphia, United States Archdiocese of Philadelphia Full timeJob DescriptionJob DescriptionCATHOLIC SOCIAL SERVICESPOSITION DESCRIPTIONTitle: Case Manager, Resettlement and Placement ProgramTitle of Supervisor: Administrator, Resettlement and Placement ProgramOrganizational Unit: Catholic Social ServicesHours: 35 hours per week flexible with evening and weekend hoursClassification: Full TimeLocation: Southwest Family...
-
Enrollment Case Manager
2 days ago
Philadelphia, United States Kings Staffing LLC. Full timeJob DescriptionJob DescriptionKing's Staffing serves as a career pathway for individuals interested in the Human Services industry. As an Employee of Kings Staffing, you will serve as an Enrollment Broker, enrolling residents that live in your assigned area, into Home and community based services.-Must be willing to travel throughout assigined area to...
-
Enrollment Case Manager
1 week ago
Philadelphia, United States Kings Staffing LLC. Full timeJob DescriptionJob DescriptionKing's Staffing serves as a career pathway for individuals interested in the Human Services industry. As an Employee of Kings Staffing, you will serve as an Enrollment Broker, enrolling residents that live in your assigned area, into Home and community based services.-Must be willing to travel throughout assigined area to...
-
RN CASE MANAGER
1 week ago
Philadelphia, United States Temple University Hospital Full timeRN CASE MANAGER (TUH-Jeanes Campus - 40 hours days)In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to...
-
RN CASE MANAGER
1 week ago
Philadelphia, United States Temple University Hospital Full timeRN CASE MANAGER (TUH-Jeanes Campus - 40 hours days)In collaboration with the patient/family, physicians, and the interdisciplinary team, the Case Manager facilitates the patient's progress through the acute episode of care in an efficient and cost effective manner. Monitors the level of care, initiating evidence based protocols and order sets according to...
-
Audit Training Facilitator, CPA
Found in: Resume Library US A2 - 1 week ago
Philadelphia, Pennsylvania, United States RES Consultant Group Full timeJob Description Job Summary: The Training Facilitator has a responsibility for training facilitation using the best practices in adult learning theory. The Training Facilitator will enhance the competencies of clients by designing and conducting training programs that will boost client workplace performance in alliance with the company's core...
-
RN CASE MANAGER
1 week ago
Philadelphia, United States Temple University Hospital Full timeRN CASE MANAGER - (Temple/Chestnut Hill Hospital - 24 hours days)The Case Manager is a registered nurse responsible for coordinating the care and services for an assigned unit-based patient population. The Case Manager promotes quality of care, supports effective resource utilization, and facilitates the patient's progression of care to proactively plan for...
-
Staff RN Outpatient
3 weeks ago
Philadelphia, United States Temple University Hospital Full timeStaff RN Outpatient -Fox Chase Cancer Center Medical GroupStaff RN Outpatient-Harvey Arthur -40 hours Day Shift -Fox Chase Cancer Center Medical Group- Responsible and accountable for care of outpatients during scheduled physician visit or during a telephone encounter. The RN assesses, implements, and evaluates care needed by assigned patients under the...
