Medical Field Case Manager

Genex Services, LLC; El Monte (CA); Hybrid; USD 95,000 - 100,000; Full time

Benefits offered by this job

Full benefits program

24 days vacation/holidays

Home office equipment (laptop, monitor

Mileage & travel reimbursement

Employee Assistance & Referral Program

Case management training

Job summary

Enlyte is seeking a Field Case Manager to coordinate care for injured workers in a hybrid role based in El Monte, CA. You will partner with treating physicians, employers, and patients to create effective treatment plans and ensure cost-efficient, quality care.

The ideal candidate is an RN with 2+ years of clinical practice and familiarity with workers' compensation case management. Travel to in-person appointments is required, with a strong emphasis on independent workload management and

Qualifications

• Active RN license in good standing.
• 2+ years clinical practice preferred.
• URAC-recognized case management certification (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).

Responsibilities

• Develop and implement treatment plans to return injured workers to work.
• Collaborate with physicians/providers and employers to tailor care.
• Assess recovery progress and adjust case goals as needed.
• Manage workload and prioritize cases for timely outcomes.
• Attend injured workers' appointments when required and provide updates.

Skills

Advocacy

Independent work

Computer skills

Communication

Education

Nursing degree (RN)

Tools

Excel

Word

Outlook

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, hybrid position. The candidate must be located in the El Monte, CAarea 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.

• 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
• 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 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 attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, 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, 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).
• Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.
• Internet: Must have reliable internet.
• Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self.

• Medical
• Dental
• Vision
• Health Savings Accounts / Flexible Spending Accounts
• Life and AD&D Insurance
• 401(k)
• Tuition Reimbursement
• 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 $95,000 - $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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