Clinical Advocate

RPS

  • Phoenix, AZ
  • Permanent
  • Full-time
  • 1 month ago
IntroductionAt Risk Placement Services, we're more than just a team – we thrive on collaboration, creativity, and tackling challenges head-on. Our culture fosters an environment where every idea counts, and every individual's contribution matters. Step into a world of excitement and innovation as we work with top-rated carriers to design robust coverage for our clients. Unleash your potential and join our spirited team, where you'll have the freedom to explore and the support to grow.We believe that every candidate brings something special to the table, including you! So, even if you feel that you’re close but not an exact match, we encourage you to apply.
How you'll make an impactResponsible to assist the claims professionals with medical aspects of claim management. Nurse will provide clinical input into the medical treatment of injured parties and coordinate referrals to service providers for appropriate medical management (ex: TCM, UM , FCM ,etc) Nurse will provide assistance in the application of ODG guidelines and state treatment guidelines. Nurse will provide training sessions for claims professionals and support staff within the branch of assignment. Nurse will intervene with vendors to align services and to evaluate treatment options available. Nurse will review documentation to include diagnostic results, progress notes, medication therapy, physical therapy notes, functional capacity exams and IME reports. Nurse will work with the claim professional in the creation and interpretation correspondence to and from medical providers and independent medical exam professionals. Nurse will participate in claim roundtable discussions and carrier or employer audits as requested by the manager. Must maintain a minimum of 35 hours of professional assistance to the branch each week.
About YouRequired: Associate's degree from an accredited school of nursing and a minimum of 3 years clinical experience in an acute care setting required. Active Registered Nursing license within the state of practice.Preferred: Bachelor's degree preferred. Worker's Compensation experience is preferred. Certification in related field preferred.Behaviors: Demonstrates adequate knowledge of managed care with emphasis on use of criteria , guidelines and national standards of practice. Demonstrates good written and oral communications, organizational and leadership skills. Computer literate. Demonstrates good time management skills. Self starter.
Compensation and benefitsOn top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:
  • Medical/dental/vision plans, which start from day one!
  • Life and accident insurance
  • 401(K) and Roth options
  • Tax-advantaged accounts (HSA, FSA)
  • Educational expense reimbursement
  • Paid parental leave
Other benefits include:
  • Digital mental health services (Talkspace)
  • Flexible work hours (availability varies by office and job function)
  • Training programs
  • Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
  • Charitable matching gift program
  • And more...
We value inclusion and diversityto review our U.S. Eligibility Requirements and Pay Disclosure StatementInclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.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, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

RPS