Field Nurse Case Manager -Roanoke, VA

Gallagher • Roanoke, VA

3d

About The Position

Provides medical management to workers compensation injured employees through case management involving telephonic and in-person contact with injured workers and medical providers. Coordinates with employers and claims professionals to manage medical care and support the injured employee’s return to work. The position covers the Roanoke area, with a travel radius of up to two hours.

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.
• Adequate 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.
• Ability to travel to appointments within approximately a two-hour radius.

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 on 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 injured worker’s treatment plan.
• May participate in telephonic case conferences.
• Maintain a minimum caseload of 35 files, 150 monthly billable hours, and at least 95% quality compliance.

Benefits

• Competitive compensation.
• Comprehensive benefits programs designed to support well-being.
• Career development opportunities and ongoing learning.
• A collaborative, people-first culture with accessible leadership.
• The opportunity to do meaningful work with global reach and local impact.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed