Field Nurse Case Manager - Hartford, CT

Gallagher•West Hartford, CT

2d•Onsite

About The Position

The Field Nurse Case Manager provides medical management to workers’ compensation injured employees through case management involving 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 an injured employee’s return to work. The position covers the Hartford, Connecticut area, with a travel radius of up to two hours. Responsibilities include coordinating medical evaluation and treatment; collaborating with physicians and injured workers on treatment plans and return-to-work goals; coordinating ancillary services; keeping employers and referral sources informed; documenting case activity; and communicating case status and recommendations to involved parties. The role maintains a minimum caseload of 35 files, 150 monthly billable hours, and at least 95% quality compliance.

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 in the state of practice or states in which case management is performed.
Knowledge of managed care, including use of criteria, guidelines, and national standards of practice.
Advanced written and oral communication skills, organizational skills, and leadership skills.
Ability to self-direct and proactively manage assigned case files.
Strong time management skills.
Ability to travel to appointments within approximately a two-hour radius.

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 to support effective outcomes.
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 participants in the treatment plan.
May participate in telephonic case conferences.
Maintain a minimum caseload of 35 files, 150 monthly billable hours, and minimum 95% quality compliance.