Medical Field Case Manager

Enlyte•Sacramento, CA
•Hybrid

About The Position

Enlyte is hiring a full-time, hybrid Medical Field Case Manager based in the Sacramento, 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 create and implement treatment plans that support appropriate return to work, cost-effective healthcare, maximum medical recovery, and optimal functioning. The Field Case Manager applies case management standards of practice and knowledge of injuries, medications, comorbidities, treatment options, alternatives, and job duties. The role assesses recovery, collaborates on individualized treatment plans, supports practical job-duty modifications, monitors case goals and treatment effectiveness, and independently prioritizes and manages a caseload. Other duties include attending appointments when appropriate and preparing status updates for customers. The position requires an active Registered Nurse license in good standing, a qualifying URAC-recognized case-management certification, reliable transportation for travel in the assigned geography, and reliable internet. The posting offers a base salary range of $95,000–$100,000 annually, with eligibility for a productivity-based bonus program. Compensation depends on factors including skills, experience, education, and performance metrics.

Requirements

  • Associate 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 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 access.

Nice To Haves

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

Responsibilities

  • Apply case management standards of practice competently.
  • 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 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 recovery 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 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 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 eligibility.
  • Resources that encourage healthier living.
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