Telephonic Case Manager

Enlyte

4h•$84,000 - $86,000•Remote

About The Position

This is a full-time, flexible work from home position and must located in Pacific, Mountain, or Central Time Zones. Licensure Requirement: Compact + California RN license Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training. Join our compassionate team and help make a positive difference in an injured person’s life. As a Telephonic Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will: Demonstrate knowledge, skills, and competency in the application of case management standards of practice. Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan. Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational. Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient. Work with employers and physicians to modify job duties where practical to facilitate early return to work. Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness. Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively. Complete other duties, such as prepare status updates for submittal to customers, assist in training/orientation of new staff as requested, and other duties as assigned.

Requirements

Associates Degree or Bachelor’s Degree in Nursing or related field.
2+ years clinical practice preferred.
Workers’ compensation-related experience preferred.
Ability to advocate recommendations effectively with physicians/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.
Active compact and California Registered Nurse (RN) license required. Must be in good standing.
Must have reliable internet.

Nice To Haves

URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.

Responsibilities

Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.
Work with employers and physicians to modify job duties where practical to facilitate early return to work.
Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness.
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
Complete other duties, such as prepare status updates for submittal to customers, assist in training/orientation of new staff as requested, and other duties as assigned.