Medical Field Case Manager

Enlyte • Burlingame, CA

3d • Hybrid

About The Position

Enlyte is seeking a Medical Field Case Manager to help injured or disabled people recover and return to work. This full-time, hybrid position requires the candidate to live in the San Mateo, California area because of regular local travel 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, ensure appropriate and cost-effective healthcare, support maximum medical recovery, and help people return to an optimal level of work and functioning.

The Case Manager assesses recovery and treatment effectiveness, recommends care based on clinical and job-duty knowledge, and coordinates with providers and employers to support appropriate treatment and early return to work. The position requires independent workload management, reliable transportation for appointments in the assigned geography, and reliable internet access.

Requirements

• Associate 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 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.
• Must be located in the San Mateo, California area due to regular local travel for in-person appointments.

Nice To Haves

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

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 disabled persons 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 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 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 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