Field Nurse Case Manager - New London, CT

Gallagher•New Haven, 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 the injured employee’s return to work. The position covers the New London, Connecticut area, with 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, arranges ancillary services, and keeps employers and referral sources informed about medical treatment and work status. The role evaluates treatment outcomes using Evidence Based Guidelines, documents case observations and plans, and prepares reports and correspondence for the people involved in an injured worker’s treatment. The caseload expectation is at least 35 files and 150 monthly billable hours, with at least 95% quality compliance.

Requirements

Degree from an applicable program of training.
Minimum of 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 use of criteria, guidelines, and national standards of practice.
Advanced written and oral communication skills, as well as 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 2-hour radius.

Nice To Haves

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

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, 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 ensure 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 and 150 monthly billable hours, with minimum 95% quality compliance.