Field Nurse Case Manager - Philadelphia, PA

Gallagher; Philadelphia (Philadelphia County); On-site; USD 70,000 - 100,000; Full time

Job summary

Gallagher Bassett, a leading workers' compensation claims provider, seeks a Medical Case Manager to coordinate care for injured employees in the Philadelphia area. You will conduct telephonic and on-site assessments, collaborate with physicians and employers, and manage a caseload to support return-to-work goals.

Ideal candidates hold an RN license with 3+ years in acute care, and prefer workers' compensation experience and professional certifications.

Qualifications

• Minimum 3 years clinical experience in an acute care setting.
• Active RN license in state or CM practice states.

Responsibilities

• Coordinate medical evaluation and treatment for injured workers.
• Meet with physicians and workers to discuss treatment goals and return-to-work plans.
• Keep employer and referral sources updated on medical status and care plans.
• Coordinate ancillary services and communicate job requirements for modified employment.
• Document observations, assessments and plans for ongoing care.
• Generate reports and correspondence for referral sources and stakeholders.
• Aim for 95% quality compliance across caseload and hours.

Skills

Case management

Clinical experience

Communication

Education

Registered Nursing degree

Tools

EMR systems

Job description

Introduction

At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership- and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose.

Overview

Provides medical management to workers compensation injured employees, performing case management through telephonic and in-person contact with injured workers and medical providers. Coordinates with employers and claims professionals to manage medical care in order to return injured employee to work. This position will cover the Philadelphia, PA area with a travel radius of up to 2 hours.

How you'll make an impact

Key Responsibilities:

• Coordinating medical evaluation and treatment
• Meeting with physician and injured worker to collaborate on treatment plan and to discuss goals for return to work
• Keeping employer and referral source updated regarding medical treatment and work status
• Coordinating ancillary services, e.g. home health, durable medical equipment, and physical therapy. Communicates with employers to determine job requirements and to explore modified or alternate employment.
• Discusses and evaluates results of treatment plan with physician and injured worker using Evidence Based Guidelines to ensure effective outcome.
• Documents case management observations, assessment, and plan.
• Generates reports for referral source to communicate case status and recommendations.
• Generates ongoing correspondence to referral source, employer, medical providers, injured worker, and other participants involved in the injured worker's treatment plan.
• May participate in telephonic case conferences.
• Maintains a minimum caseload of 35 files, and 150 monthly billable hours, with minimum 95% quality compliance.

About You

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.

Desired:

• Bachelor's degree preferred.
• Worker's Compensation experience is preferred.
• Certification in related field preferred.1-3 years of clinical experience preferred.
• Able to travel to appointments within approximately a 2 hour radius.

Work Traits:

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

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Compensation and benefits

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

• Competitive compensation
• Comprehensive benefits programs designed to support your 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

At Gallagher, we are dedicated to building an inclusive and authentic workplace. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)