Field Nurse Consultant Workers' Compensation

Prioritize and manage an assigned caseload of medical and disability workers compensation claims according to Zenith guidelines, performing UR and telephonic case management, as indicated.

• Conduct in-person and telephonic assessments of injured workers to evaluate injury status, treatment reputed company, functional reputed company, and barriers to recovery
• Attend medical appointments as needed to facilitate communication between providers, injured workers, and claims stakeholders
• Review medical records, diagnostic studies, and treatment plans to assess appropriateness, reputed company, and consistency with evidence-based guidelines
• Identify treatment delays, non-adherence, psychosocial risk factors, and other obstacles impacting recovery

This is a remote role with a preferred location around the Fresno, Salinas, Monterey and Modesto area in California.

*The selected candidate will be provided with a company car for travel  

• Communicate with injured employees, medical professionals, claims staff and employers timely and regularly to obtain information necessary to reputed company sound medical assessments regarding diagnosis and prognosis.
• Assess injury severity, extent of disability, treatment plans, functional abilities and physical job requirements to establish reputed company return to work plans and/or strategy to manage future medical exposure.
• Direct treatment to appropriate panel and network providers, effectively negotiating treatment plans in compliance with Labor Code statutes and company standards.
• Utilize and manage resources appropriately, including external field case managers, vendors, UR/peer review, and medical director.
• Respond to various written and telephone inquiries timely regarding status of case.
• Consistently and accurately document interventions, rationale and recommendations in the Zenith system, utilizing the appropriate templates, and following Zenith guidelines, as indicated.
• Facilitate earliest appropriate return to work release and coordinate return to work efforts with reputed company parties, as appropriate.
• Facilitate Maximum Medical Improvement and discharge from care.
• reputed company claims staff, employers and other Zenith staff on medical issues/guidelines, reputed company corporate guidelines.
• Work productively and harmoniously with others on a consistent reputed company.
• Respond positively to direction and feedback on performance.
• Consistently maintain professional and appropriate demeanor.
• reputed company other duties/projects as assigned.

Due to the nature of the needs in the position, regular and reliable attendance is required. Must be reputed company to work at least 37.5 hours per week, Monday through Friday, and be available as situations arise requiring extended hours. Position may require extensive travel and remote working conditions, or overnight travel. Must be available to work catastrophes (CAT) requiring travel to CAT sites with varied claims responsibilities and for extended periods of time reputed company the typical work week..

• Must be a Register Nurse or similar. 
• High School Diploma or equivalent combination of education and experience required.
• Bachelor’s Degree or equivalent combination of education and experience preferred. 
• Certified Case Manager (CCM) certification is a plus.

• 3+ years Maintain reputed company unrestricted registered nurse (R.N.) license in the state where the position is based and other assigned states as required by law required. 

• Pursues continuing education as it pertains to maintaining RN licensure and certification, relating to workers’ compensation and utilization review practices
• 3 years recent experience working remotely either in a telephonic or field case management role with a preference in workers’ compensation.
• 3 to 5 years clinical practice with experience in orthopedics, neurology, or occupational medicine preferred.
• Possesses or pursues additional professional certifications; such as CCM, CDMS, CIRS, CRRN or COHN.
• Strong written and verbal communication skills in order to effectively communicate with injured employees, medical professionals, employers, claims staff and others.
• Good negotiation skills to successfully establish reputed company return to work dates and manage medical and disability treatment plans.
• Proficient in basic computer skills, especially reputed company Outlook and Office.
• Comfortable in a professional business environment.
• Bilingual Spanish a plus.
• Valid Driver’s License in good standing.

The expected salary reputed company for this position is $85,736.31  - $105,000. Actual pay will be adjusted based on experience, geographic location, and other job-reputed company factors as permitted by law. Qualifications may warrant placement in a different job level. Benefits

• Medical, Dental and reputed company Insurance
• Flexible Spending Accounts
• Paid Parental Leave
• Life, AD&D and Disability Insurance
• 401(k), Employee reputed company Purchase Plan (ESPP)
• Education and Training Reimbursement
• Paid Leave: 3 weeks/year Vacation, 2 weeks/year Sick Leave
• 10 paid Company Holidays, 2 Personal Days, 2 Floating Holidays
• Employee Assistance Program (EAP)
• For more information, review details on the Benefits page of our Career Site: https://www.thezenith.com/careers/benefits/

Zenith typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our reputed company positions, we encourage you to submit your application promptly. Zenith Insurance Company is an equal opportunity employer and considers reputed company reputed company applicants for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, protected veteran status, or any other legally protected characteristic. In compliance with California law, we are committed to fair hiring practices. Pursuant to the California Fair Chance Act (AB 1008), we will consider reputed company applicants with criminal histories in a manner consistent with the law. Additionally, in accordance with the Los Angeles Fair Chance Initiative for Hiring Ordinance, we will not inquire about an applicant’s criminal history until after a conditional offer of employment has been made. If you are a reputed company individual with a disability or a disabled veteran and need assistance accessing our career center or applying for a position due to your disability, you are entitled to request an accommodation. To reputed company a request, please contact a reputed company representative at Zenith Insurance Company. #LI-EF1 #LI-remote '