Telephonic Case Manager

Enlyte • Aurora, CO

3h • 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 U.S. The role requires an RN Compact license and a California license. The Case Manager works with treating physicians and providers, employers, customers, legal representatives, and injured or disabled people to develop and implement treatment plans that support appropriate return to work, cost-effective healthcare, maximum medical recovery, and optimal functioning.

The position applies case management standards of practice and advanced knowledge of injuries, medications, comorbidities, treatment options, and job duties. The Case Manager assesses recovery, collaborates with providers on individualized treatment plans, supports practical job-duty modifications, and adjusts goals based on progress and treatment effectiveness. The role also involves independently prioritizing and managing a caseload, preparing customer status updates, and assisting with training or orientation when requested.

Requirements

• Active Registered Nurse (RN) license in good standing.
• RN Compact license and California license required.
• An associate or bachelor's degree in nursing or a related field.
• 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 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

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

Responsibilities

• Apply knowledge, skills, and competency in case management standards of practice.
• Use advanced knowledge of injuries, medications, comorbidities, treatment options and alternatives, and job duties to advise on treatment plans.
• Interview 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 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 determine effective case-management approaches.
• Prepare status updates for customers.
• Assist with training or orientation of new staff as requested.
• Perform other duties as assigned.

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.
• 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.
• Resources that encourage healthier living.

What This Job Offers

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