Field Nurse Consultant – Workers' Compensation

Role Overview

• Prioritize and manage an assigned caseload of medical and disability workers compensation claims according to Zenith guidelines
• Conduct in-person and telephonic assessments of injured workers to evaluate injury status, treatment progress, functional capacity, 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, progress, and consistency with evidence-based guidelines
• Identify treatment delays, non-adherence, psychosocial risk factors, and other obstacles impacting recovery
• Communicate with injured employees, medical professionals, claims staff, and employers timely and regularly
• Assess injury severity, extent of disability, treatment plans, functional abilities, and physical job requirements
• Direct treatment to appropriate panel and network providers
• 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
• Facilitate earliest appropriate return to work release and coordinate return to work efforts with all parties
• Facilitate Maximum Medical Improvement and discharge from care
• Educate claims staff, employers, and other Zenith staff on medical issues/guidelines

Requirements

• Must be a Registered 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 of experience
• Maintain current unrestricted registered nurse (R.N.) license in the state where the position is based and other assigned states as required by law
• 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
• Strong written and verbal communication skills
• Good negotiation skills
• Proficient in basic computer skills, especially Microsoft Outlook and Office
• Comfortable in a professional business environment
• Bilingual Spanish a plus
• Valid Driver’s 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)