Job description
So wherever opportunity and need come next in this world, Gallagher Bassett is there. From Walla Walla, Washington to Wallaroo, South Australia. More than 5,000 of the most dedicated professionals backed by the industry’s most powerful technology. Each with a single and powerful purpose: To GUIDE those suffering a loss to the best outcomes for their health and financial wellbeing. To GUARD our clients’ assets as the trusted stewards of their risk and claims management programs. To GO BEYOND expectations in the continuous pursuit of a better way.
Concierge Nurse Consultant Role: Gallagher Bassett’s GBCARE division is looking for a nurse to join its new Clinical Concierge group. CC is an innovative and exciting early intervention offering to improve claim outcomes through proactive process from day one. Results from our pilot programs are showing tremendous value in terms of claim cost reduction and claimant satisfaction. We are now embarking on this journey to scale this product and offer it to all our clients.
Responsibilities:Position Summary:
This is an opportunity to join a growing team where you can expect to learn and contribute in a number of different ways. The role would be based in a high velocity process-based setup where the nurse would be expected to handle up to 5-7 new cases a day. The position entails getting trained in and be effective in using a modern technology platform for case management, workflow and communication. There will also be career growth opportunities as the team expands.
Key Responsibilities:
- Perform risk assessment via an empathetic interview of the injured worker over the phone.
- Provides outstanding claimant service and builds trust with the injured worker.
- Sets the in terms of what level of clinical oversight is needed on the claim.
- Keep all parties - injured worker, claims adjustor, physician, referral source- informed on case progress.
- Help facilitate direction of care, including referrals to different providers, by delegating to and other support staff.
- Reviews medical records post appointment and checks for compliance with Evidence Based Medicine
- Determines if the claim needs ongoing nurse oversight
- Works collaboratively with support nurse and other support staff and ensures all delegated tasks on the case are getting done.
- Degree from applicable program of training and a minimum of 3 years clinical experience in an acute care setting required.
- Active Registered Nursing license or equivalent within the state of practice or states in which CM is performed .
- Bachelor's degree.
- Worker's Compensation experience preferred.
- Certification in related field preferred.
- At least 2 years’ experience working as a nurse in any capacity - RN or BSN degree
- Experience triaging injuries or other medical issues is desirable
Work Traits:
- Empathetic, patient-centric disposition
- Motivated to make a difference in lives of individuals dealing with injury related setback
- Very particular about getting things done on time
- Comfortable delegating tasks and ensuring they get done
- Comfortable working with offshore team
- Strong written and oral communication skills
- Strong organizational and time management skills
- Ability to work in a fast-paced environment
- Ability to work independently without much oversight
- Ability to work in a process based environment where multiple people will be working on the same case, supporting the nurse
#LI-HL1
We offer competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function), training programs, matching gift program, and more.
We believe that all persons are entitled to equal employment opportunity and do not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, we will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
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