*PLEASE NOTE*   This role is eligible to participate in Zenith’s hybrid work schedule which provides the flexibility to work from home on select days of the week according to the in-office schedule established by regional executive leadership.   Position can be filled in East Norriton, PA or Charlotte, NC Branch Offices   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.   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. Education Qualifications High School Diploma or equivalent combination of education and experience required Bachelor’s Degree or equivalent combination of education and experience preferred Experience Qualifications 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 Skills and Abilities 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 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 Driver’s License in good standing. The expected salary range for this position in East Norriton, PA is $81,834.55 to $102,293.19. The expected salary range for this position in Charlotte, NC is $75,772.73 to $94,715.91   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.  

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: 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-Hybrid

  The expected salary range for this position is $81,834.55 to $102,293.19 . 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.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Zenith Insurance Company.   #LI-EF!