Medical Field Case Manager

Enlyte•Twin Falls, ID
•Hybrid

About The Position

Enlyte is seeking a part-time Medical Field Case Manager for a hybrid position in the Twin Falls, Idaho area. The role requires 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 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 position involves applying case management standards of practice; using clinical knowledge of injuries, medications, comorbidities, treatments, alternatives, and job duties; assessing recovery; coordinating treatment plans; and adapting case goals to treatment effectiveness and patient progress. The case manager independently prioritizes and manages a caseload, may attend injured workers’ appointments, and prepares status updates for customers. The role is 30 hours per week and includes hands-on workers’ compensation case management training. Candidates must have reliable internet and transportation and be able to travel to appointments in their assigned geography. The expected base pay is $85,000–$92,000 annually, with eligibility for a productivity-based bonus program. Compensation depends on factors including skills, experience, education, performance metrics, and applicable geographic market.

Requirements

  • Active Registered Nurse (RN) license in good standing.
  • URAC-recognized case management certification: CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.
  • 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.

Nice To Haves

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

Responsibilities

  • Apply case management standards of practice with appropriate knowledge, skills, and competency.
  • 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 and 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 person’s improvement and treatment effectiveness.
  • Independently manage workload by prioritizing cases and determining effective case-management approaches.
  • Attend injured workers’ appointments when appropriate.
  • Prepare status updates for submission to customers.
  • Perform other duties as assigned.

Benefits

  • Medical, dental, and vision coverage.
  • Health Savings Accounts and Flexible Spending Accounts.
  • Life and AD&D insurance.
  • 401(k).
  • Tuition reimbursement.
  • 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.
  • Productivity-based bonus program.
  • Resources that encourage a lifetime of healthier living.
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