Medical Field Case Manager

Genex Services; Daly City (CA); Hybrid; USD 90,000 - 110,000; Full time

Job summary

An established industry player is seeking a dedicated Medical Field Case Manager to join their compassionate team. This full-time, work-from-home role requires local travel for patient appointments and offers a comprehensive benefits package. You will collaborate with healthcare providers and employers to create effective treatment plans for injured individuals, ensuring their successful return to work. With a focus on personal growth and innovation, this position allows you to make a meaningful impact while enjoying a supportive work environment. If you are passionate about helping others and have a strong clinical background, this opportunity is perfect for you.

Benefits

Comprehensive benefits program

24 days of paid vacation/holidays

Home office equipment (laptop and monitor)

Mileage and travel reimbursement

Employee Assistance and Referral Program

Hands-on workers’ compensation case management training

Qualifications

• 2+ years clinical practice preferred; workers’ compensation experience a plus.
• Active RN license in good standing; URAC-recognized case management certification.

Responsibilities

• Work closely with physicians/providers to create treatment plans.
• Interview disabled persons to assess recovery and modify case goals.
• Manage workload independently, prioritizing cases effectively.

Skills

Effective advocacy with physicians

Ability to work independently

Basic computer skills (Excel, Word, Outlook)

Strong written communication skills

Education

Associates or Bachelor’s Degree in Nursing

Tools

Excel

Word

Outlook

Job description

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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.

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:

• Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
• Use advanced knowledge of injury types, medications, comorbidities, treatment options, and job duties to advise on treatment plans.
• Interview disabled persons to assess recovery, including occupational or non-occupational injuries or conditions.
• Collaborate with treating physicians/providers and utilize available resources to tailor treatment plans.
• Work with employers and physicians to modify job duties to facilitate early return to work.
• Evaluate and modify case goals based on patient progress and treatment effectiveness.
• Manage workload independently, prioritizing cases effectively.
• Complete additional duties such as attending appointments, preparing status updates, and other responsibilities as assigned.

Qualifications

• Education: Associates or Bachelor’s Degree in Nursing or related field.
• Experience: 2+ years clinical practice preferred; workers’ compensation experience a plus.
• Skills: Effective advocacy with physicians, employers, and customers; ability to work independently; basic computer skills (Excel, Word, Outlook); strong written communication skills.
• Certifications: Active RN license in good standing; URAC-recognized case management certification (e.g., CCM, CRC, CRRN, COHN, CMC).
• Travel: Reliable transportation for in-person appointments within the assigned geography.
• Internet: Reliable internet connection required.

Benefits

We support your well-being through comprehensive benefits including Medical, Dental, Vision, HSA/FSA, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and wellness resources. Compensation ranges from $90,000 to $110,000 annually, plus potential bonuses based on performance and skills. Benefits eligibility may vary based on employment status.

Enlyte is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, religion, gender, sexual orientation, age, veteran status, disability, or other protected characteristics.