Medical Field Case Manager

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At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact.

Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

This is a full-time, hybrid position. The candidate must be located in the Pleasanton, CA area due to regular local travel for in-person patient appointments.

• Full and comprehensive benefits program
• 24 days of paid vacation/holidays in your first year plus sick days
• Home office equipment including laptop and desktop monitor
• Mileage and travel reimbursement
• Employee Assistance and Referral Program
• Hands-on workers’ compensation case management training

As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:

• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
• Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
• Work with employers and physicians to modify job duties where practical to facilitate early return to work.
• Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
• Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
• Complete other duties, such as attending injured worker’s appointments when appropriate, preparing status updates for submittal to customers, and other duties as assigned.

• Education:
  
  Associate’s Degree or Bachelor’s Degree in Nursing or related field.
• Experience:
  
  2+ years clinical practice preferred. Workers’ compensation-related experience preferred.
• Skills:
  
  Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook. Proficient grammar, sentence structure, and written communication skills.
• Certifications, Licenses, Registrations:
  • Active Registered Nurse (RN) license required. Must be in good standing.
  • URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
• Travel:
  Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in the assigned geography.
• Internet:
  Must have reliable internet.
• Transportation:
  Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.

The base pay for this position ranges from $80,000 - $105,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Total compensation will be based on skills, experience, education, and performance metrics.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

• Seniority level:
  Associate
• Employment type:
  
  Full-time
• Job function:
  Other, Consulting, and Health Care Provider
• Industries:
  Information Services