Medical Field Case Manager

Genex Service LLC; San Jose (CA); Hybrid; USD 100,000 - 105,000; Full time

Benefits offered by this job

Full benefits program

Mileage and travel reimbursement

Hybrid work arrangement

Job summary

Genex Service LLC in San Jose, CA is seeking a Registered Nurse with workers' compensation experience to join our Medical Field Case Manager team. This full-time, hybrid role requires traveling to in-person appointments and coordinating with physicians, employers, and injured workers to develop effective treatment plans aimed at rapid return to work.

You will manage cases independently, advocate for patient needs, and ensure cost-efficient healthcare services while maintaining compliance with

Qualifications

• Associates Degree or Bachelor's Degree in Nursing.
• 2+ years of clinical practice preferred; workers' compensation experience preferred.

Responsibilities

• Demonstrate knowledge of case management standards of practice.
• Advise on treatment plans with physicians/providers and employers.
• Interview injured workers to assess recovery and occupational status.
• Collaborate with physicians/providers to tailor treatment plans for individuals.
• Modify job duties with employers to facilitate early return to work.
• Manage workload, prioritize cases, and submit status updates to customers.

Skills

Advocate recommendations

Independent work

Basic computer skills

Proficient grammar

Education

Associates or Bachelor's in Nursing

Tools

Excel

Word

Outlook Email

Job description

Genex Service LLC

Medical Field Case Manager

US-CA-San Jose

Job ID: 26-19402

Type: Regular Full-Time

# of Openings: 1

Category: Case Management

Mitchell International, Inc.

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.

Responsibilities

This is a full-time, hybrid position. The candidate must be located in the San Jose, 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 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. 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. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $100,000 - $105,000 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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