Medical Field Case Manager

Enlyte • Irvine, CA

2d • Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager located in the Irvine, California area. Regular local travel is required for in-person appointments with patients. The role supports injured or disabled people through recovery after workplace injuries or auto accidents, helping them return to work appropriately and achieve maximum medical recovery and optimal functioning.

The Field Case Manager works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to develop and implement individualized treatment plans, ensure appropriate and cost-effective healthcare services, and support return-to-work outcomes. The position requires independent management of a caseload and travel to appointments in the assigned geography.

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.

Nice To Haves

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

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 and determine 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 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, dental, and vision coverage.
• 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