Medical Field Case Manager
About The Position
Enlyte is hiring a full-time, work-from-home Medical Field Case Manager located in the Houston, Texas area, with regular local travel for in-person patient appointments. The role works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to develop and implement treatment plans that support appropriate return to work, cost-effective healthcare, maximum medical recovery, and optimal work and functioning. Bilingual English/Spanish skills are preferred. The Case Manager applies case management standards and knowledge of injuries, medications, comorbidities, treatment options, and job duties. The position includes assessing recovery, coordinating care, supporting practical job modifications, evaluating case goals, managing a caseload independently, and completing documentation and other assigned duties. Reliable internet and transportation are required.
Requirements
- Active Registered Nurse (RN) license in good standing.
- Associate’s or bachelor’s degree in nursing or a related field.
- Reliable transportation and ability to travel to and attend in-person appointments with injured workers in the assigned geography.
- Reliable internet access.
- Ability to advocate recommendations effectively with physicians or providers, employers, and customers.
- Ability to work independently.
- Basic computer skills, including Excel, Word, and Outlook Email.
- Proficient grammar, sentence structure, and written communication skills.
Nice To Haves
- Two or more years of clinical practice.
- Workers’ compensation-related experience.
- Bilingual English/Spanish ability.
- URAC-recognized case management certification, such as CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.
Responsibilities
- Apply case management standards of practice.
- Use knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
- Interview injured or disabled people to assess recovery, including whether injuries or conditions are occupational or non-occupational.
- Collaborate with treating physicians and providers and use available resources to develop and implement individualized treatment plans.
- Work with employers and physicians to modify job duties where practical to facilitate an early return to work.
- Evaluate and modify case goals based on the person’s improvement and treatment effectiveness.
- Independently manage workload, prioritize cases, and determine effective case-management approaches.
- Attend injured workers’ appointments when appropriate.
- Prepare status updates for submission to customers and perform other duties as assigned.
- Travel to and attend in-person appointments with injured workers in the assigned geography.
Benefits
- Comprehensive benefits program.
- 24 days of paid vacation and holidays in the first year, plus sick days.
- Home office equipment, including a laptop and desktop monitor.
- Mileage and travel reimbursement.
- Employee Assistance and Referral Program.
- Workers’ compensation case management training.
- Medical insurance.
- Dental insurance.
- Vision insurance.
- Health Savings Accounts and Flexible Spending Accounts.
- Life and AD&D insurance.
- 401(k).
- Tuition reimbursement.
- Productivity-based bonus program.
- Resources that encourage healthier living.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
