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Posted: January 15, 2026 (1 day ago)

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L&I Occupational Nurse Consultant

State of Washington

Dept. of Labor & Industries

Fresh

Location

Washington, 98504

Salary

$7,492 - $12,276

per month

Closes

February 2, 2026More State jobs →

Job Description

Summary

This job involves reviewing medical claims for injured workers in Washington's workers' compensation system, assessing their health needs, and recommending appropriate treatments to ensure they get proper care.

You'll work with claim staff and doctors to coordinate plans like home health or nursing facilities.

It's a great fit for experienced nurses who enjoy independent work, helping people recover from job injuries, and using their clinical knowledge in an office setting.

Key Requirements

  • Valid Registered Nurse license in Washington
  • Five years of acute care clinical nursing experience or workers' compensation insurance experience
  • Bachelor of Science in Nursing or advanced nursing degree (or equivalent)
  • Proficient written and verbal communication skills
  • Ability to work independently with limited supervision
  • Master's degree in nursing (desired)
  • Nursing consultative, administrative, or supervisory experience (desired)

Full Job Description


Our Mission: Keep Washington Safe and Working!
Our Values:
Customer Focus, One L&I, Respect, Diversity, Equity and Inclusion, Learning and Growth, Reliability

Job Highlights

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers.

We help employers meet safety and health standards and inspect workplaces when alerted to hazards.

As administrators of the state's workers' compensation system, we are similar to a large insurance company, providing medical and limited wage-replacement coverage to workers who suffer job-related injuries and illness.

Our rules and enforcement programs also help ensure workers are paid what they are owed, that children's and teens' work hours are limited, and that consumers are protected from unsound business practices.

Insurance Services is the largest division within the agency and administers one of the premier workers’ compensation organizations in the nation serving over 3.8 million employees working for 260,000 employers.

Within the Insurance Services division, the Office of the Medical Director is looking for an Occupational Nurse Consultant (ONC) who can provide recommendations to claim adjudication staff in order to promote and maintain proper and necessary heath care for injured workers.

As an ONC, you will assess the ongoing health care and nursing needs of an injured worker to coordinate a plan of care.



Requirements

Some of what you’ll do:

  • Review claim files to compile an accurate record of the medical interventions and the worker’s response to those interventions.
  • Consult with members of other professional disciplines to improve the standard of care for workers.
  • Communicates recommendations verbally and in writing to claim staff and medical providers on proper and necessary treatment for the allowed industrial injury or occupational disease.
  • Authorizes home health care, skilled nursing facility admission, infusion therapy, residential care, hospice care, and nurse delegation services.
  • Review occupational disease claims to determine if work activities that could have contributed to the development of an occupational disease.
  • Review claims, and use resources such as RCW, WAC, department policies, medical treatment guidelines, and coverage decisions, to determine if requested treatment is proper and necessary for an allowed condition resulting from an industrial injury or occupational disease.
  • And much more!

Qualifications

Required:

  • Valid Registered Nurse license in the state of Washington.

AND

  • Five (5) years of acute care clinical nursing experience or experience with worker's compensation insurance.

AND

  • Bachelor of Science in Nursing and/or advanced nursing degree, or equivalent.

**A Master's degree in a health care discipline will substitute for one year of required nursing experience.

AND

  • Proficient written and verbal communication skills.
  • Must be able to work independently with limited direct supervision.
  • Must have the ability to take action to learn and grow.
  • Must have the ability to take action to meet the needs of others.

Desired:

  • Master's degree in nursing
  • Two years of nursing consultative, administrative, or supervisory experience over health care professionals.
  • Proficient using computer programs such as Microsoft Office Suite.

Additional Information

Things You Need To Know

To help you maintain a proper work-life balance, teleworking is one of the work schedule options for this position. L&I also offers flexible custom work schedules.

State employees who meet the qualifications will become eligible for a generous retirement package at the end of the employee’s career. Click on the “Benefits” tab to learn more.

At L&I, your voice matters. In addition, L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.8 million workers. Take a look at this brief video and learn more about why L&I is an employer of choice.

Telework is dependent upon business needs and supervisor approval. For positions where in-office work is necessary, the frequency of telework will be discussed with the supervisor of the position at the time of offer.

The assigned duty station for this position is Tumwater, Washington.

To receive more information on opportunities at L&I sign up for GovDelivery and select L&I job alerts.

Application process

We will contact the top candidates directly to interview for this position.

Because we base the selection on information provided by you, it is in your best interest to identify the knowledge, skills, and abilities that address the required and desirable qualifications described in the announcement.

Please include the following documents with your application:

  1. A cover letter describing specific qualifications.
  2. A current resume detailing applicable experience and education.
  3. A list of at least three professional references with current telephone numbers.

Please do not attach or place any medical information (vaccination status included) within the application, resume, or cover letter.

If you do, we will have to reject your application to safeguard others from receiving your confidential information. You will have to remove the confidential information before you can apply again.

To learn more about our hiring process timeline at L&I please visit our L&I recruiting page at Hiring Process at L&I. If you would like to read our website in a language other than English, scroll up to the top of the page to select your language of choice from the banner.

Background Check Notice:

Prior to a placement in this position, a background check, including criminal history record will be conducted. Information from your background check will not necessarily preclude employment but will be considered in determining your eligibility to perform the requirements of the position.

Other information

  • For positions requiring travel, you must have a valid unrestricted driver's license and have insurance if driving a privately owned vehicle on state business.
  • This position is represented by the Washington Federation of State Employees (WFSE).
  • Candidates who are offered a job with L&I must possess work authorization that does not require sponsorship by the employer for a visa now or in the future.
  • The Department of Labor & Industries complies with the employment eligibility verification requirements of the federal employment eligibility verification form, I-9.

    The selected candidate must be able to provide proof of identity and eligibility to work in the United States consistent with the requirements of that form on the first day of employment.

  • Please note: L&I may use this announcement to fill multiple permanent and/or non-permanent positions.

Did You Know?

Washington is America's Top State to live, play, and work, according to U.S. News (2021). Join the L&I team and enjoy all the Evergreen State has to offer.

In addition to offering a positive balance between life and work, L&I provides one of the most competitive benefits packages in the nation. We also believe your voice matters.

We value our employees and their work-life balance by encouraging flexible schedules. L&I is a diverse state agency dedicated to the safety and health and security of Washington's 3.8 million workers.

Veterans Preference

Applicants wishing to claim Veterans Preference should attach to their application a copy of their DD-214 (Member 4 copy), NGB 22, or signed verification of service letter from the United States Department of Veterans Affairs.

Please blackout any personally identifiable data such as Social Security numbers. For further information, contact L&I’s Jobs@lni.wa.gov.

Diversity, Equity, and Inclusion Employer

L&I employees come from all walks of life. We strive to hire great people from a wide variety of backgrounds.

All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

We believe in the importance of recognizing the value each of us contribute to the success of the agency mission.

Having a diverse workforce is this agency’s greatest resource of strength and knowledge.

It is through the combination of talents and abilities that we can pursue finding effective measures to provide the best customer service.

We are committed to building a diverse and inclusive workplace for everyone and we strongly mean everyone.

The State of Washington is an equal opportunity employer.

Persons with a disability who need accommodation in the application process or testing process, or those needing this announcement in an alternative format, may call 360-902-5700.

TTY users should first call 711 to access the Washington Relay Service.

You are welcome to include the name and pronoun you would like to be referred to in your materials, and we will honor this as you interact with our award-winning diverse and inclusive organization.

For more Information

If you have any questions regarding this job posting, program, or the agency, please contact the HRBTU@lni.wa.gov.


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Posted on NEOGOV: 1/15/2026 | Added to FreshGovJobs: 1/16/2026

Source: NEOGOV | ID: neogov-washington-5202064