Telephonic Case Manager

Enlyte • UNAVAILABLE, UNAVAILABLE

2d • Remote

About The Position

Enlyte is hiring a full-time Telephonic Case Manager for a flexible work-from-home position that can be located anywhere in the United States. The role supports injured or disabled people recovering from workplace injuries or auto accidents. Working with treating physicians and providers, employers, customers, legal representatives, and the injured person, the case manager helps create and implement treatment plans that support appropriate return to work, cost-effective healthcare, maximum medical recovery, and an optimal level of work and functioning.

The position requires an active RN license in good standing, an RN Compact license, and a URAC-recognized case management certification. An associate or bachelor’s degree in nursing or a related field is required. The role calls for independent case management, clinical knowledge, effective advocacy and communication, and reliable internet access. New York and California RN licenses, clinical practice, and workers’ compensation experience are preferred.

Requirements

• Active Registered Nurse (RN) license in good standing; an RN Compact license is required.
• URAC-recognized certification in case management, such as CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, or CMC.
• Associate degree or bachelor’s degree in nursing or a related field.
• Ability to advocate recommendations effectively with physicians or 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 internet access.

Nice To Haves

• New York and California RN licenses.
• Two or more years of clinical practice.
• Workers’ compensation-related experience.

Responsibilities

• Apply case management standards of practice with knowledge, skill, and competency.
• Use knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
• Interview disabled persons to assess overall recovery and determine 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 early return to work.
• Evaluate and modify case goals based on the injured or disabled person’s improvement and treatment effectiveness.
• Independently manage workload by prioritizing cases and determining effective case-management approaches.
• Prepare status updates for submission to customers.
• Assist with training and orientation of new staff as requested.
• Perform other duties as assigned.

Benefits

• Comprehensive benefits program, including medical, dental, and vision insurance.
• Health Savings Accounts and Flexible Spending Accounts.
• Life and AD&D insurance.
• 401(k).
• Tuition reimbursement.
• 24 days of paid vacation and holidays in the first year, plus sick days.
• Home office equipment, including a laptop and desktop monitor.
• Employee Assistance and Referral Program.
• Hands-on workers’ compensation case management training.
• Resources that encourage healthier living.

What This Job Offers

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