Concierge Nurse Consultant (Spanish Bilingual)

Gallagher•Enterprise, NV

2d•Remote

About The Position

Gallagher Bassett’s GBCARE division is looking for a nurse to join its Clinical Concierge group. Clinical Concierge is an innovative and exciting early intervention offering to improve claim outcomes through proactive management of the medical treatment process from day one. The ideal candidate will be Spanish Bilingual and cover the Pacific Time Zone. This is an opportunity to join a growing team where you can expect to learn and contribute in a number of different ways. The role would be based in a high velocity process-based setup where the nurse would be expected to handle up to 5-7 new cases a day. The position entails getting trained in and be effective in using a modern technology platform for case management, workflow and communication.

Requirements

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 CM is performed.
Spanish Bilingual
Empathetic, patient-centric disposition
Motivated to make a difference in lives of individuals dealing with injury related setback
Very particular about getting things done on time
Comfortable delegating tasks and ensuring they get done
Comfortable working with offshore team
Strong written and oral communication skills
Strong organizational and time management skills
Ability to work in a fast-paced environment
Ability to work independently without much oversight
Ability to work in a process based environment where multiple people will be working on the same case, supporting the nurse

Nice To Haves

Bachelor's degree preferred.
Worker's Compensation experience is preferred.
Certification in related field preferred.
At least 2 years’ experience working as a nurse in any capacity - RN or BSN degree
Experience triaging injuries or other medical issues is desirable

Responsibilities

Perform risk assessment via an empathetic interview of the injured worker over the phone.
Provides outstanding claimant service and builds trust with the injured worker.
Sets the direction in terms of what level of clinical oversight is needed on the claim.
Keep all parties - injured worker, claims adjuster, physician, referral source-- informed on case progress.
Help facilitate direction of care, including referrals to different providers, by delegating to support nurse and other support staff.
Reviews medical records post appointment and checks for compliance with Evidence Based Medicine
Determines if the claim needs ongoing nurse oversight
Works collaboratively with support nurse and other support staff and ensures all delegated tasks on the case are getting done.