Medical Field Case Manager

Enlyte•Myrtle Beach, SC

2d•Hybrid

About The Position

This is a full-time, hybrid position for a candidate located in the Myrtle Beach, South Carolina area because the role requires regular local travel for in-person patient appointments. The Medical Field Case Manager works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to create and implement treatment plans. The goal is to support appropriate return to work, ensure appropriate and cost-effective healthcare services, achieve maximum medical recovery, and help each person return to 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 when advising on treatment plans. The Case Manager interviews injured or disabled people to assess recovery, collaborates with providers and other stakeholders, and may attend appointments. The position also involves independently managing a caseload and providing status updates to customers. The position offers comprehensive benefits, paid vacation and holidays, sick days, home office equipment, mileage and travel reimbursement, an Employee Assistance and Referral Program, and workers’ compensation case management training. Expected base pay is $62,800–$75,000 annually, with eligibility for a productivity-based bonus program. Total compensation depends on factors including skills, experience, education, and performance metrics.

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.
Reliable transportation and ability to travel to and attend 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.
Basic computer skills, including Excel, Word, and Outlook Email.
Proficient grammar, sentence structure, and written communication skills.

Nice To Haves

At least 2 years of clinical practice.
Workers’ compensation-related experience.

Responsibilities

Demonstrate knowledge, skills, and competency in applying case management standards of practice.
Use knowledge of injury types, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
Interview injured or 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 by prioritizing cases and determining effective case-management approaches.
Attend injured workers’ appointments when appropriate.
Prepare status updates for submission to customers.
Perform other duties as assigned.