Medical Field Case Manager

Enlyte; San Diego (CA); Hybrid; USD 95,000 - 100,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) plan

Tuition Reimbursement

Paid vacation/holidays

Home office equipment

Job summary

Enlyte is seeking a Medical Field Case Manager in San Diego, CA. You will partner with treating physicians, employers, and injured individuals to design and implement effective treatment plans and support early return-to-work strategies.

The role requires an RN license, 2+ years of clinical practice, and preferred URAC case management certification. This is a full-time, hybrid position offering comprehensive benefits.

Qualifications

• RN license required.
• Associates or Bachelor's Degree in Nursing or related field.
• URAC-recognized certification in case management preferred.

Responsibilities

• Demonstrate knowledge of case management standards of practice.
• Advise on treatment plans using knowledge of injuries, meds, comorbidities, and treatments.
• Interview injured individuals to assess recovery and occupational relevance.
• Collaborate with physicians to tailor treatment plans.
• Modify job duties with employers to enable early return to work.
• Evaluate and adjust case goals based on progress and effectiveness.
• Independently manage workload and prioritise cases.
• Attend appointments when appropriate and prepare status updates for customers.

Education

Associates Degree or Bachelor's Degree in Nursing or related field

Job description

About This Role

The Medical Field Case Manager will work closely with treating physicians, employers, and injured individuals to create and implement effective treatment plans. This role is ideal for experienced professionals who are passionate about making a positive impact in the lives of those recovering from injuries.

Highlights

• Pay: $95,000 - $100,000/year
• Location: San Diego, CA
• Schedule: Full-time, hybrid

What You'll Do

• 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, and treatment alternatives 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 to create and implement tailored treatment plans.
• Work with employers and physicians to modify job duties to facilitate early return to work.
• Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness.
• Independently manage workload, prioritizing cases and deciding how best to manage them effectively.
• Attend injured worker's appointments when appropriate and prepare status updates for customers.

Requirements

• Education: Associates Degree or Bachelor's Degree in Nursing or related field required.
• Experience: 2+ years clinical practice preferred.
• Workers' compensation-related experience preferred.
• Licenses & Certifications:
  • Active Registered Nurse (RN) license required.
  • URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN, COHN, COHN-S, RN-BC, ACM, CMAC, CMC) preferred.

Benefits

• Medical, Dental, Vision coverage
• Health Savings Accounts / Flexible Spending Accounts
• Life and AD&D Insurance
• 401(k) plan
• Tuition Reimbursement
• 24 days of paid vacation/holidays in the 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

About Enlyte

Enlyte combines innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. They support individuals' journeys back to health and wellness through industry-leading solutions and services. Enlyte values collaboration, innovation, and personal growth, making a meaningful impact in the lives of those they serve.