Nurse Manager-Medical Management

This role is eligible to participate in Zeniths 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.

This is an Internal Posting open only to current Nurse / Sr Nurse Consultants in the Fresno Branch

To direct supervise train and manage Zenith staff in medical management operations within designated branches in accordance with organizational expectations ensuring that medical management branch operations are effective appropriate timely and compliant with internal and external expectations and ensuring compliance with regulatory and / or statutory jurisdictional requirements. All with the goal of returning the injured person to employability and normal activities or achieving Maximum Medical Improvement (MMI)

The essential functions of this position include but are not limited to the following :

• Participates in the development and maintenance of nursing policies and procedures.
• Plans for and manages daily operations of branch nurses and administrative staff including timely resolution of the nursing teams daily work assignments providing clinical expertise and direction to the medical management and / or claims team as needed and ensuring adequate staffing coverage as needed.
• As requested analyzes reports and claims for trends and opportunities to improve operations or creates reports to support business operations.
• Ensures compliance with regulatory licensure and jurisdictional requirements for all reporting staff.
• As requested review contracts policies procedures and other materials to ensure appropriateness and relevance to Zenith operations.
• Participate in auditing of operations programs claims as requested.
• Actively participates in monthly (or more frequently as needed) management meetings.
• Participates in the recruiting and interviewing process for nurses.
• Conducts and facilitates regular staff meetings with the nurses to assist with communication within Medical Management and with the branch claims team as needed.
• Actively participates in branch meetings and events.
• Initiates and completes all reporting nurses mid year and annual performance evaluations.
• Assures that staff adheres to all Zenith policies and procedures.
• Completes all quality assessment reviews as required on all staff.
• Completes all organizational assessments as required.
• Participate in corporate initiatives such as BCP exercises IT testing as needed.
• Volunteers for committees projects and other assignments as needed.
• Applies principles of logical thinking to define problems collect data establish facts and draw valid conclusions.
• 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.

Training Responsibilities.

Professional Development.

Education Qualifications

Experience Qualifications

Skills and Abilities

The expected salary range for this position is $114115.03 to $142643.79 . 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

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.

Required Experience :

Manager

Key Skills

Children Activity,Dermatology,Lounge,Accomodation,Litigation Paralegal,Administration Office

Employment Type : Full-Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 114115 - 142643