Medical Field Case Manager

Enlyte • Asheville, NC

13h • Remote

About The Position

Enlyte is hiring a part-time, work-from-home Medical Field Case Manager located in the Asheville, North Carolina area. Regular local travel is required for in-person patient appointments. The role works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to develop and implement treatment plans that support appropriate return to work, cost-effective healthcare, maximum medical recovery, and optimal work and functioning.

The Field Case Manager applies case management standards of practice and advanced knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties. The position independently manages and prioritizes a caseload, assesses recovery, collaborates on individualized treatment plans, and adjusts case goals in response to progress and treatment effectiveness. Other duties include attending injured workers’ appointments when appropriate, preparing customer status updates, and completing other assigned duties.

The role requires an active RN license in good standing, reliable transportation and internet, and a URAC-recognized case-management certification. An associate or bachelor’s degree in nursing or a related field is required. The posting prefers at least two years of clinical practice and workers’ compensation-related experience.

Requirements

• Associate’s or bachelor’s degree in nursing or a related field.
• Active Registered Nurse (RN) license in good standing.
• A URAC-recognized case-management certification: CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.
• Ability to advocate recommendations effectively with physicians and providers, employers, and customers.
• Ability to work independently.
• Knowledge of 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.
• Use knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
• Interview disabled persons to assess overall 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 recovery progress 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 duties as assigned.

Benefits

• Comprehensive benefits program; eligibility may differ depending on full-time or part-time status.
• 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: Part-time
• Education Level: Associate degree