Medical Field Case Manager

Enlyte • Mineola, NY

3d • Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager who must reside in the Mineola, New York area because the role involves regular local travel in Long Island and Queens for in-person patient appointments. The role works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to create and implement treatment plans that support appropriate return to work, cost-effective healthcare, maximum medical recovery, and an optimal level of work and functioning. Bilingual English/Spanish skills are highly desired.

The Field Case Manager applies case management standards of practice and uses clinical knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties. The position requires independent workload and case management, reliable transportation for local travel and appointments, and reliable internet access. An active Registered Nurse (RN) license in good standing is required. The company provides hands-on workers’ compensation case management training.

Requirements

• Active Registered Nurse (RN) license in good standing.
• Associate’s degree or Bachelor’s degree in Nursing or a related field.
• Ability to advocate recommendations effectively 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.
• Must reside in the Mineola, NY area due to regular local travel in Long Island and Queens.

Nice To Haves

• Bilingual English/Spanish skills.
• Two or more years of clinical practice.
• Workers’ compensation-related experience.
• 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 using appropriate knowledge, skills, 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, including whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians and providers and use available resources to create 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 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 and perform other assigned duties.

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.
• Hands-on 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree