Medical Field Case Manager

Enlyte • Raleigh, NC

2h • Hybrid

About The Position

Enlyte is seeking a Medical Field Case Manager to support injured or disabled people through recovery after workplace injuries or auto accidents. This full-time, hybrid position requires the candidate to be located in the Raleigh, North Carolina area because of 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 create and implement treatment plans. The goal is to support an appropriate return to work, ensure appropriate and cost-effective healthcare services, achieve maximum medical recovery, and help the person return to an optimal level of work and functioning. The position requires independent case management and travel to appointments in the assigned geography.

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, such as 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.
• 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.
• Workers’ compensation-related experience.

Responsibilities

• Apply case management standards of practice with appropriate knowledge, skills, and competency.
• Use knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
• Interview disabled people to assess recovery and determine whether injuries or conditions are occupational or non-occupational.
• Collaborate with treating physicians and providers and use available resources to help 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 decide how to manage cases effectively.
• Attend injured workers’ appointments when appropriate.
• Prepare status updates for submission to customers and complete other assigned duties.

Benefits

• Full and 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.
• Resources that encourage healthier living.
• Eligibility to participate in a productivity-based bonus program.

What This Job Offers

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