Medical Field Case Manager

Enlyte • San Diego, CA

6d • Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager who must be located in the San Diego, California area because the role involves regular local travel for in-person patient appointments. Spanish-English bilingual skills are required.

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 appropriate recovery and return to work, ensure appropriate and cost-effective healthcare services, and help people achieve maximum medical recovery and an optimal level of work and functioning. The position requires independent case and workload management, clinical knowledge, and travel to appointments in the assigned geography.

Requirements

• Associate's or bachelor's degree in nursing or a related field.
• Active Registered Nurse (RN) license in good standing.
• Bilingual in Spanish.
• 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.

Nice To Haves

• 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 knowledge, skills, and competency in case management standards of practice.
• Use advanced knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
• Interview disabled persons 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 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 the effectiveness of treatment.
• 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.

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, dental, and vision insurance.
• Health Savings Accounts and Flexible Spending Accounts.
• Life and AD&D insurance.
• 401(k).
• Tuition reimbursement.
• Resources that encourage healthier living.
• Eligibility to participate in a productivity-based bonus program.

What This Job Offers

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