Nurse Consultant

About the role

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. Values such as collaboration, work‑life balance, and integrity are placed at the center of all operations. Zenith supports career advancement through ongoing learning and development, offering competitive compensation, a comprehensive benefits package, and continuous professional growth opportunities.

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

Responsibilities

• Communicate with injured employees, medical professionals, claims staff and employers timely and regularly to obtain information necessary for 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 strategies 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, utilization review/peer review, and medical director.
• Respond to various written and telephone inquiries promptly regarding case status.
• Consistently and accurately document interventions, rationale and recommendations in the Zenith system, using appropriate templates and following Zenith guidelines.
• 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.
• Maintain a professional and appropriate demeanor.
• Perform other duties/projects as assigned.

Requirements

• High School Diploma or equivalent combination of education and experience (required).
• Bachelor’s Degree or equivalent combination of education and experience (preferred).
• 3+ years of experience maintaining a current unrestricted registered nurse (R.N.) license in the state where the position is based and any additional assigned states as required by law.

Qualifications

• Pursues continuing education related to maintaining RN licensure and certification, workers’ compensation, and utilization review practices.
• 3 to 5 years of 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 for effective interaction with injured employees, medical professionals, employers, claims staff, and others.
• Good negotiation skills to 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

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.

Benefits

• Medical, Dental, and Vision Insurance
• Flexible Spending Accounts
• Paid Parental Leave
• Life, AD&D and Disability Insurance
• 401(k) and 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)
• Additional details available on the Benefits page of the Career Site: https://www.thezenith.com/careers/benefits/