Nurse Consultant

Compensation

Grade: 29 Job Description You likely chose a career in nursing out of a sincere desire to help others-to ensure they receive appropriate treatment and care. At SAIF, we share that ideal. As a nurse consultant at SAIF, you will utilize your medical knowledge and critical thinking to provide guidance and education. You will collaborate with adjusters and other team members to assist in the management of workers compensation claims. You'll work mostly remote and flexible hours in a fast-paced office environment, working both independently and as a team member. You will also play a critical role in helping injured workers receive timely, accurate benefits and in getting them back to work. It's everything you love about nursing, but with a twist. Job overview As a nurse consultant, you'll work with adjusters, return to work consultants, vocational coordinators, providers, managed care organizations, and others. You will review workers compensation claims, conduct utilization reviews, assist with cost containment, and provide medical training. You will use your medical expertise and breadth of experience, along with your critical thinking and research skills to ensure the best outcomes for Oregon's workers and our policyholders. If you're ready to join our team dedicated to helping injured workers and employers, please apply today.

Responsibilities

• Analyze and interpret medical records and provide guidance and education to claims adjusters on the appropriateness of current medical treatment as it relates to a claimed injury. Make recommendations which reflect sound nursing judgement, corporate policy, managed care mandates, and the Oregon Administration Rule (OARs).
• Participate in communications with medical providers, managed care organizations (MCOs), and other related entities to provide clarity concerning medical issues.
• Analyze and determine medical necessity and reasonableness of requested treatments and whether they are related to the accepted condition(s).
• Develop and deliver medical information or training to audience with varying levels of expertise and ability as it relates to claims management.
• Maintain professional nursing license, competencies, and/or certification(s) through professional development and training.
• Explore diverse perspectives and consistently behave sensitively toward differences in cultural norms, expectations, and ways of communicating. Work effectively with others who have different perspectives, backgrounds, and/or work styles.

Qualifications

Required

• Current Oregon Registered Nursing license. Recommended
• Three years of recent nursing experience: critical care, emergency, occupational health, orthopedic, utilization management, case management, or a combination of other acute care experience.
• Current knowledge of anatomy and physiology, and ability to educate and communicate regarding a variety of medical conditions.
• Experience using Microsoft Office products
• Other combinations of skills and experience may be considered. Next step To receive consideration, please submit your resume with a cover letter by the close of this recruitment. We want your submission to count, so be sure it's complete. This recruitment will close on September 18, 2025. If a sufficient number of qualified applications are received this recruitment may close early. Compensation & Benefits Typical hiring range: $91,507 - $107,655. The pay range for this position is annually based on a full-time schedule. Actual compensation will be determinedusing factors such as experience, skills, training, certifications & education. SAIF provides a wide range of benefits to employees who work at least 20 hours per week, including health care, retirement savings plans, paid time off, and more. For additional information about SAIF's total rewards, visit our website at: Total rewards (saif.com)
• Note that eligibility and cost of benefits can vary depending on the number of regularly scheduled hours, and job status such as regular full-time, regular part-time, seasonal, or temporary employment. Full salary range: $80,740 - $134,570 Veterans We provide preference to qualifying and disabled veterans. For more information please visit saif.com/veterans. About us Since 1914, SAIF has been taking care of injured workers, helping people get back to work, and keeping rates low by focusing on workplace safety. Together with our partners, we strive to make Oregon the safest and healthiest place to work. For questions related to this job, please reach out to us at [email protected]. SAIF is an Equal Opportunity Employer that values diversity in its workplace. Apply tot his job

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