Medical Field Case Manager

Genex Services, LLC; Daly City (CA); Remote; USD 90,000 - 100,000; Full time

Job summary

Join a compassionate team dedicated to making a positive impact in the lives of injured individuals. This full-time, work-from-home role as a Field Case Manager involves collaborating with healthcare providers and employers to create effective treatment plans. You will play a crucial role in helping individuals recover and return to work, ensuring they receive the necessary care and support. With a comprehensive benefits package and a supportive work environment, this position offers the opportunity to grow your career while making a meaningful difference in people's lives. If you're ready to advocate for those in need, this role is perfect for you.

Benefits

Comprehensive benefits program

24 days of paid vacation

Home office equipment

Mileage and travel reimbursement

Employee Assistance Program

Hands-on case management training

Qualifications

• 2+ years of clinical practice preferred, especially in workers' compensation.
• Active RN license required, must be in good standing.

Responsibilities

• Create and implement treatment plans for injured/disabled persons.
• Collaborate with physicians and employers to facilitate return to work.
• Manage workload independently and prioritize cases effectively.

Skills

Advocacy skills

Independent work

Basic computer skills (Excel, Word, Outlook)

Written communication skills

Education

Associates Degree in Nursing

Bachelor’s Degree in Nursing

Tools

Microsoft Excel

Microsoft Word

Outlook Email

Job description

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, work-from-home position. The candidate must be located in the Daly City, CA area due to regular local travel for in-person patient appointments.

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 Field 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:

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

Qualifications

1. Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
2. Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred.
3. 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.
4. Certifications, Licenses, Registrations:
   • Active Registered Nurse (RN) 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).
5. Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
6. 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. The expected base pay for this position ranges from $90,000 - $100,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.

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.

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