Medical Field Case Manager

Enlyte • Rancho Cucamonga, CA

4d • Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager based in the Rancho Cucamonga, California 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 functioning.

The Case Manager applies case management standards and clinical knowledge of injuries, medications, comorbidities, treatment options, and job duties. The role includes assessing recovery, collaborating on individualized care plans, supporting practical job-duty modifications, and adjusting case goals according to progress and treatment effectiveness. The position independently manages and prioritizes a caseload, attends appointments when appropriate, and prepares status updates for customers.

The position requires an active Registered Nurse (RN) license in good standing, an eligible URAC-recognized case management certification, reliable transportation for local travel, and reliable internet. The posted expected base pay is $95,000–$98,000 annually, with eligibility for a productivity-based bonus program.

Requirements

• Associate’s or bachelor’s degree in Nursing or a related field.
• 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.
• Ability to advocate recommendations effectively with physicians or 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, including 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 person’s improvement and treatment effectiveness.
• Independently manage and prioritize caseloads 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 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