Medical Field Case Manager

Enlyte; Irvine (CA); Remote; USD 90,000 - 95,000; Full time

Job summary

Join a leading company as a Medical Field Case Manager, where you'll support injured individuals in their recovery journey. This full-time, remote position requires local travel for patient appointments. Enjoy comprehensive benefits and a supportive work environment focused on personal growth.

Benefits

Comprehensive benefits program

24 days of paid vacation/holidays

Home office equipment

Mileage and travel reimbursement

Employee Assistance and Referral Program

Hands-on workers’ compensation case management training

Medical, Dental, Vision insurance

401(k)

Tuition Reimbursement

Qualifications

• 2+ years clinical practice preferred.
• Active Registered Nurse (RN) license required.
• URAC-recognized certification in case management preferred.

Responsibilities

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

Skills

Advocacy

Independent Work

Communication

Education

Associates Degree

Bachelor’s Degree in Nursing

Tools

Excel

Word

Outlook Email

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 Irvine, 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 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 attending injured worker’s appointments when appropriate, preparing 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 overall well-being through our total compensation package, including Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and other resources promoting healthier living. Benefits eligibility may vary by employment status. The base pay ranges from $90,000 to $95,000 annually, with eligibility for a productivity-based bonus. Total compensation depends on skills, experience, education, and performance metrics.

The Company is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, veteran status, disability, or other protected classes.