Gallagher Bassett
Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that works together to redefine the boundaries of excellence. At our organization, we value collaboration and making a positive impact in the lives of our clients and claimants, offering you the opportunity to join a team where your skills and dedication can truly make a difference. GUIDE. GUARD. GO BEYOND.
This role requires Active Compact Registered Nursing license within resident state or California RN license with additional non-compact state licenses. Concierge Nurse Consultant Role: Gallagher Bassett’s GBCARE division is looking for a bilingual nurse to join its new Clinical Concierge group. Clinical Concierge is an innovative and exciting early intervention offering to improve claim outcomes through proactive management of the medical treatment process from day one. Our purpose is to help people in need who are dealing with an injury or health-related setback. We understand them, support them, guide them, and get them the right type of specialist help, when needed. How you'll make an impact 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.
Required: 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. Candidate must be Bilingual ( Fluent in Spanish / English) Preferred: Bachelor's degree preferred. Workers’ Compensation experience is preferred. CCM, CRRN or equivalent preferred Experience triaging injuries or other medical issues is desirable Behaviors: 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
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 direction in terms of what level of clinical oversight is needed on the claim. Keep all parties - injured worker, claims adjuster, physician, referral source-- informed on case progress. Help facilitate direction of care, including referrals to different providers, by delegating to support nurse 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.
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