Telephonic Case Manager

Genex Services; Teletrabalho; BRL 423.000 - 456.000; Tempo integral

Resumo da oferta

A healthcare company is seeking a Telephonic Case Manager to work from home. This full-time role requires an active RN Compact license with CA and experience in workers' compensation. The position focuses on creating treatment plans for injured persons and involves collaboration with healthcare providers and employers. The salary ranges from $80,000 to $86,000 annually, based on experience and education. Comprehensive benefits are included.

Serviços

Comprehensive benefits program

24 days of paid vacation/holidays

Employee Assistance and Referral Program

Hands-on workers’ compensation case management training

Qualificações

• 2+ years clinical practice preferred.
• Workers’ compensation-related experience preferred.
• Must have reliable internet.

Responsabilidades

• Create and implement a treatment plan for injured/disabled persons.
• Work with physicians and employers to facilitate return to work.
• Manage caseload and prioritize cases effectively.

Conhecimentos

Advocate recommendations effectively

Work independently

Basic computer skills including Excel, Word, Outlook

Proficient grammar and written communication

Formação académica

Associates or Bachelor’s Degree in Nursing or related field

Ferramentas

Excel

Word

Outlook Email

Descrição da oferta de emprego

Company Overview

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry‑leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting‑edge technology, or providing clinical services, you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

Job Description

This is a full‑time, flexible work‑from‑home position and can be located anywhere in the U.S.

RN Compact with CA license required

Workers Compensation experience preferred

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, Employee Assistance and Referral Program, and hands‑on workers’ compensation case management training.

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.

Qualifications

• Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
• Experience: 2+ years clinical practice preferred. Workers’ compensation‑related experience preferred.
• Skills: 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.
• Certifications, Licences, Registrations:
  • Active Compact Registered Nurse (RN) with CA license required. Must be in good standing.
  • URAC‑recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN‑S, RN‑BC, ACM, CMAC, CMC).
• Internet: Must have reliable internet.

Benefits

We’re committed to supporting your ultimate well‑being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full‑time or part‑time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $80,000 - $86,000 annually, and will be based on a number of additional factors including skills, experience, and education.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.