Nurse Medical Case Manager - Workers' Compensation
Nurse Medical Case Manager - Workers' Compensation
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 84177 - 105221
1 Vacancy
Job Description
- Communicate with injured employees medical professionals claims staff and employers timely and regularly to obtain information necessary to make sound medical assessments regarding diagnosis and prognosis.
- Assess injury severity extent of disability treatment plans functional abilities and physical job requirements to establish target 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 all parties as appropriate.
- Facilitate Maximum Medical Improvement and discharge from care.
- Educate claims staff employers and other Zenith staff on medical issues/guidelines within corporate guidelines.
- High School Diploma or equivalent combination of education and experience required
- Bachelors Degree or equivalent combination of education and experience preferred
- 3 Years Maintain current 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 required.
- Compact license strongly preferred
- 3 years recent experience working in a telephonic or 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 target return to work dates and manage medical and disability treatment plans.
- Proficient in basic computer skills especially Microsoft Outlook and Office.
- Comfortable in a professional business environment.
- Bilingual Spanish a plus.
- Valid Drivers License in good standing.
Benefits
- Medical Dental and Vision Insurance
- Flexible Spending Accounts
- Paid Parental Leave
- Life AD&D and Disability Insurance
- 401(k) Employee Share 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: typically posts jobs for a minimum of 8 to 14 calendar days. If you are interested in any of our open positions we encourage you to submit your application promptly.
Zenith Insurance Company is an equal opportunity employer and considers all qualified applicants for employment without regard to race color religion sex sexual orientation gender identity national origin disability protected veteran status or any other legally protected compliance with California law we are committed to fair hiring practices. Pursuant to the California Fair Chance Act (AB 1008) we will consider qualified 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 applicants criminal history until after a conditional offer of employment has been made.
If you are a qualified 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 make a request please contact a Human resources representative at Zenith Insurance Company.
#LI-EF1
#LI-Hybrid
Required Experience:
Manager
Employment Type
Full-Time
