Field Nurse Case Manager - Allentown, PA

Gallagher Bassett; Philadelphia (Philadelphia County); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical/dental/vision plans

401(k) and Roth options

Educational expense reimbursement

Paid parental leave

Flexible work hours

Digital mental health services

Job summary

A leading medical management provider is seeking a professional in Philadelphia County to coordinate care for workers’ compensation injured employees. The role involves telephonic and in-person interactions, working closely with medical providers and employers to facilitate medical care. Candidates must possess an active nursing or medical license and have 2 to 4 years of experience. Benefits include comprehensive medical, dental, and vision plans, along with flexible work hours and educational reimbursement.

Qualifications

• Active Registered Nursing license or medical license in the state of practice.
• 2–4 years of work experience required.
• Completing required training to maintain proficiency.

Responsibilities

• Coordinate medical evaluation and treatment.
• Meet with physicians and injured workers to discuss treatment plans.
• Document case-management observations and plans.

Skills

Nursing or medical degree

Intermediate to advanced computer skills

Advanced written and oral communication skills

Strong time-management skills

Education

Nursing or medical degree from an accredited institution

Bachelor's degree preferred

Job description

Overview

Provides medical management to workers’ compensation injured employees. Performs case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with employers and claims professionals to manage medical care and facilitate return-to-work. This position covers the Allentown area with a travel radius of up to 2 hours.

How You’ll Make an Impact

Key Responsibilities

• Coordinate medical evaluation and treatment.
• Meet with physician and injured worker to collaborate on a treatment plan and discuss return‑to‑work goals.
• Keep employer and referral source 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 results of the treatment plan with physician and injured worker using Evidence‑Based Guidelines.
• Document case‑management observations, assessments, and plan.
• Generate reports for referral source to communicate case status and recommendations.
• Maintain ongoing correspondence to referral source, employer, medical providers, injured worker, and other participants.
• Participate in telephonic case conferences as needed.
• Maintain a minimum caseload of 35 files and 150 monthly billable hours with at least 95% quality compliance.

About You

Required

• Nursing or medical degree from an accredited institution with an active Registered Nursing license or medical license in the state of practice.
• 2–4 years of work experience.
• Responsible for completing required training to maintain proficiency and licensing requirements.
• Able to travel to appointments within a 2‑hour radius.
• Intermediate to advanced computer skills (Microsoft Office, Outlook, etc.).

Desired

• Bachelor’s degree preferred.
• Worker’s Compensation experience preferred.
• Certification in a related field preferred.
• 1–3 years of clinical experience preferred.

Work Traits

• Demonstrates adequate knowledge of managed care, including criteria, guidelines, and national standards of practice.
• Advanced written and oral communication skills, along with organizational and leadership skills.
• Self‑directed and proactively manages assigned case files.
• Demonstrates strong time‑management skills.

Compensation and Benefits

We offer a competitive and comprehensive compensation package that reflects experience, education, and market factors. Benefits include medical/dental/vision plans from day one, life and accident insurance, 401(k) and Roth options, tax‑advantaged accounts (HSA, FSA), educational expense reimbursement, and paid parental leave.

Other benefits include: digital mental health services (Talkspace), flexible work hours (availability varies by office and role), training programs, the Gallagher Thrive program for overall wellbeing, a charitable matching gift program, and more.

Inclusion and Diversity

Gallagher embraces the diverse identities, experiences, and talents of its employees. We are committed to equal employment opportunity and prohibit discrimination based on protected characteristics. We provide reasonable accommodations for qualified individuals with disabilities, unless it would impose undue hardship on the business.