Medical Field Case Manager

Enlyte•San Diego, CA

4d•Hybrid

About The Position

Enlyte is seeking a Medical Field Case Manager to support injured or disabled people through recovery after workplace injuries or auto accidents. This full-time, hybrid position requires the candidate to be located in the San Diego, California area because of regular local travel for in-person patient appointments. The Field Case Manager works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to develop and implement treatment plans. The goal is to support an appropriate return to work, ensure appropriate and cost-effective healthcare, achieve maximum medical recovery, and help each person return to an optimal level of work and functioning. The role involves applying case management standards, using clinical knowledge to advise on treatment, coordinating care, assessing recovery, and managing cases independently. The position requires an active Registered Nurse license in good standing and a URAC-recognized case management certification. Candidates must have reliable transportation and internet access and be able to travel to appointments in their assigned geography. An associate or bachelor’s degree in nursing or a related field is required. Two or more years of clinical practice and workers’ compensation-related experience are preferred. The expected base pay is $95,000–$98,000 annually, with eligibility for a productivity-based bonus program. Enlyte offers a comprehensive benefits program, paid vacation and holidays, sick days, home office equipment, mileage and travel reimbursement, an Employee Assistance and Referral Program, and workers’ compensation case management training.

Requirements

Associate degree or bachelor’s degree in nursing or a related field.
Active Registered Nurse (RN) license in good standing.
URAC-recognized case management certification, such as CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.
Ability to effectively advocate recommendations with physicians and 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.
Reliable transportation and ability to travel to and attend in-person appointments with injured workers in the assigned geography.
Reliable internet access.
Location in the San Diego, California area due to regular local travel for in-person patient appointments.

Nice To Haves

Two or more years of clinical practice.
Workers’ compensation-related experience.

Responsibilities

Apply case management standards of practice with appropriate knowledge, skill, and competency.
Use knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
Interview disabled people to assess overall recovery and determine whether injuries or conditions are occupational or non-occupational.
Collaborate with treating physicians and providers and use available resources to develop and implement treatment plans tailored to individual patients.
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 injured or disabled 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.
Perform other duties as assigned.