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. 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. 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 New Haven, CT area with a travel radius of up to 2 hours. 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 145 monthly billable hours, with minimum 95% quality compliance.