Medical Field Case Manager

Enlyte • Birmingham, AL

10d • Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager located in the Birmingham, Alabama area. The position requires regular local travel for in-person appointments with injured workers. 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. The goal is to support appropriate recovery and return to work, ensure appropriate and cost-effective healthcare services, and help each person achieve maximum medical recovery and an optimal level of work and functioning.

The role requires applying case management standards of practice and using knowledge of injuries, medications, comorbidities, treatment options, and job duties to advise on care. The case manager assesses recovery, collaborates on treatment plans, helps modify job duties when practical, and adjusts case goals based on progress and treatment effectiveness. The position also involves independently prioritizing and managing cases, attending appointments when appropriate, and preparing status updates for customers.

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.
• 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 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 injured or disabled people 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 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 duties as assigned.

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