Introduction:
Zenith is a team of Workers' Compensation Specialists committed to helping businesses succeed by protecting against the financial and human consequences of workplace injuries, providing for the needs of injured employees and making the workplace safer. To distinguish ourselves as the desired provider of Workers' Compensation Insurance, values such as collaboration, work-life balance, and integrity are placed at the center of all our operations. In addition, Zenith supports career advancement through a dedication to ongoing learning and development. An individual coming to Zenith will not only receive competitive compensation and a comprehensive benefits package, but continuous opportunities to grow as a professional.
Overview:
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.
Responsibilities:
The essential functions of this position include, but are not limited to, the following:
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.
Work productively and harmoniously with others on a consistent basis.
Respond positively to direction and feedback on performance.
Consistently maintain professional and appropriate demeanor.
Perform other duties/projects as assigned.
Education:
High School Diploma or equivalent combination of education and experience Required
Bachelor’s Degree or equivalent combination of education and experience Preferred
Work Experience:
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
Knowledge, Skills, and Abilities:
Pursues continuing education as it pertains to maintaining RN licensure and certification, relating to workers’ compensation and utilization review practices.
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 Driver’s License in good standing.
Pay, Benefits, and Other Information:
The expected salary range for this position is $80,862.55 - $101,078.19. Actual pay will be adjusted based on experience, geographic location, and other job-related factors as permitted by law. Qualifications may warrant placement in a different job level.
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 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 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 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 applicant’s 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- '
Numbers & Facts
Location
Dublin, California
Job Type
Full-time
Salary
$80,862.55–$101,078.19 Per Year
Skills
Case Managementunmatched
Communication Skillsunmatched
Compensation and Benefitsunmatched
Computer Skillsunmatched
Consultingunmatched
Corporate Lawunmatched
Dental Insuranceunmatched
Driver's Licenseunmatched
Establish Prioritiesunmatched
Insuranceunmatched
Job Requisition Postingunmatched
Legalunmatched
Medical Diagnosisunmatched
Microsoft Officeunmatched
Microsoft Outlookunmatched
Multilingualunmatched
Negotiation Skillsunmatched
Neurologyunmatched
Nursingunmatched
Occupational Healthunmatched
Orthopedicsunmatched
Presentation/Verbal Skillsunmatched
Project Planningunmatched
Registered Nurse (RN)unmatched
Regulatory Complianceunmatched
Rehabilitation Nursingunmatched
Reimbursementunmatched
Resource Managementunmatched
Spanish Languageunmatched
Staff Trainingunmatched
Strategic Planningunmatched
Time Managementunmatched
Treatment Planunmatched
Utilization Managementunmatched
Vision Planunmatched
Worker's Compensationunmatched
Writing Skillsunmatched
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