Field Nurse Case Manager - Columbus, MS

Gallagher•Tupelo, MS

33d•Onsite

About The Position

At Gallagher Bassett, the Field Nurse Case Manager provides medical management to injured workers’ compensation employees through telephonic and in-person contact with injured workers and medical providers. The role coordinates with employers and claims professionals to manage medical care and support the injured employee’s return to work. The position covers the Columbus, Mississippi area, with travel of up to a two-hour radius. The case manager coordinates medical evaluations and treatment, collaborates with physicians and injured workers on treatment plans and return-to-work goals, and keeps employers and referral sources informed about treatment and work status. The role also coordinates ancillary services, documents case observations and plans, evaluates treatment outcomes using Evidence Based Guidelines, and communicates case status and recommendations to relevant parties. The position maintains a minimum caseload of 35 files and 150 monthly billable hours, with at least 95% quality compliance. Gallagher offers competitive compensation, comprehensive benefits programs, career development and ongoing learning opportunities, and a collaborative, people-first culture.

Requirements

Nursing or medical degree from an accredited institution.
Active Registered Nursing license or medical license in the state of practice or states where case management is performed.
2–4 years of work experience.
Ability to travel to appointments within approximately a two-hour radius.
Intermediate to advanced computer skills, including Microsoft Office and Outlook.
Adequate knowledge of managed care, with emphasis on criteria, guidelines, and national standards of practice.
Advanced written and oral communication skills, along with organizational and leadership skills.
Ability to work independently and proactively manage assigned case files.
Strong time-management skills.

Nice To Haves

Bachelor’s degree preferred.
Workers’ compensation experience preferred.
Certification in a related field preferred.
1–3 years of clinical experience preferred.

Responsibilities

Coordinate medical evaluation and treatment.
Meet with physicians and injured workers to collaborate on treatment plans and discuss return-to-work goals.
Keep employers and referral sources updated regarding medical treatment and work status.
Coordinate ancillary services, such as home health, durable medical equipment, and physical therapy.
Communicate with employers to determine job requirements and explore modified or alternate employment.
Discuss and evaluate treatment-plan results with physicians and injured workers using Evidence Based Guidelines.
Document case management observations, assessments, and plans.
Generate reports for referral sources communicating case status and recommendations.
Prepare ongoing correspondence for referral sources, employers, medical providers, injured workers, and other participants in the treatment plan.
May participate in telephonic case conferences.
Maintain a minimum caseload of 35 files and 150 monthly billable hours, with minimum 95% quality compliance.
Complete required and applicable training to maintain proficiency and licensing requirements.
Travel to appointments within approximately a two-hour radius.