Field Nurse Case Manager - East Lansing, MI

Gallagher•East Lansing, MI

10d

About The Position

Gallagher Bassett is hiring a Field Nurse Case Manager to provide medical management for workers' compensation injured employees in the East Lansing, Michigan area. The role involves case management through telephonic and in-person contact with injured workers and medical providers, coordinating with employers and claims professionals to manage medical care and support employees' return to work. The position covers a travel radius of up to two hours. 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 such as home health, durable medical equipment, and physical therapy; works with employers to understand job requirements and explore modified or alternate employment; evaluates treatment outcomes using Evidence Based Guidelines; documents case observations, assessments, and plans; and produces reports and correspondence for those involved in the injured worker's care. The role may include participation in telephonic case conferences. The position maintains a minimum caseload of 35 files and 150 monthly billable hours, with minimum 95% quality compliance. Gallagher describes its culture as collaborative and people-first, with career development and ongoing learning opportunities.

Requirements

Degree from an applicable program of training.
At least 3 years of clinical experience in an acute care setting.
Active Registered Nursing license or equivalent within the state of practice or states in which case management is performed.
Able to travel to appointments within approximately a 2-hour radius.
Knowledge of managed care, with emphasis on the use of criteria, guidelines, and national standards of practice.
Advanced written and oral communication skills, along with organizational and leadership skills.
Ability to self-direct and proactively manage assigned case files.
Strong time management skills.

Nice To Haves

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

Responsibilities

Coordinate medical evaluations 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, including 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.
Generate ongoing correspondence to referral sources, employers, medical providers, injured workers, and other treatment-plan participants.
Participate in telephonic case conferences as needed.
Maintain a minimum caseload of 35 files and 150 monthly billable hours, with minimum 95% quality compliance.