Medical Field Case Manager

Enlyte • Denver, CO

11d • Remote

About The Position

Enlyte is hiring a full-time, work-from-home Medical Field Case Manager who must be located in the Denver, Colorado area for regular local travel and in-person patient appointments. The role works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to create 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 to assess recovery, advise on treatment, coordinate resources, and adapt case goals as a patient’s condition and treatment effectiveness change. The role independently manages and prioritizes a caseload, attends appointments when appropriate, and prepares status updates for customers. Enlyte offers hands-on workers’ compensation case management training and provides home office equipment, mileage and travel reimbursement, and a comprehensive benefits program.

Requirements

• Associate degree or bachelor’s degree in nursing or a related field.
• Active Registered Nurse (RN) license in good standing.
• Reliable transportation and ability to travel to in-person appointments with injured workers in the assigned geography.
• Reliable internet access.
• Ability to effectively advocate recommendations 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.

Nice To Haves

• Two or more years of clinical practice preferred.
• Workers’ compensation-related experience preferred.
• URAC-recognized case management certification preferred, such as CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.

Responsibilities

• Apply knowledge, skills, and competency in 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, 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 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.
• Travel to and attend in-person appointments with injured workers in the assigned geography.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree