Medical Field Case Manager

Enlyte•Prescott, AZ
•Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager who must be located in the Prescott, Arizona area because the role involves regular local travel for in-person patient appointments. The Field Case Manager works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to develop and implement treatment plans. The goal is to support appropriate returns to work, ensure appropriate and cost-effective healthcare, achieve maximum medical recovery, and help individuals reach 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 alternatives, and job duties to advise on treatment plans. The case manager assesses recovery, collaborates with providers, supports practical job-duty modifications, monitors treatment effectiveness and progress toward case goals, and independently prioritizes and manages a caseload. Other duties include attending injured workers’ appointments when appropriate and preparing status updates for customers. Candidates need an active RN license in good standing, a qualifying URAC-recognized case-management certification, reliable transportation, and reliable internet. The position includes hands-on workers’ compensation case-management training. The expected annual base pay is $90,000–$92,000, 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.
  • A URAC-recognized case-management certification: CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.
  • 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.
  • 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.
  • Workers’ compensation-related experience.

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 people 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 an early return to work.
  • Evaluate and modify case goals based on the injured or disabled person’s 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 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 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.
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