Blue Cross Rn Remote Jobs in Murfreesboro, TN (NOW HIRING)

Gallagher Bassett’s GBCARE division is looking for a nurse to join its 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. The ideal candidate will hold compact licensure. 

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.

• 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.

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.

Preferred:

• Bachelor's degree preferred.
• Worker's Compensation experience is preferred.
• Certification in related field preferred.
• At least 2 years’ experience working as a nurse in any capacity - RN or BSN degree 
• 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

#LI-REMOTE

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. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

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

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.

Preferred:

• Bachelor's degree preferred.
• Worker's Compensation experience is preferred.
• Certification in related field preferred.
• At least 2 years’ experience working as a nurse in any capacity - RN or BSN degree 
• 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

#LI-REMOTE