Medical Field Case Manager

Mitchell; Town of Ohio (NY); Remote; USD 75,000 - 89,000; Full time

Job summary

A leading health and wellness firm is seeking a Field Case Manager in the Columbus, OH area. This full-time, work-from-home position requires a skilled RN to provide comprehensive case management services, advocating for patients' recovery while ensuring cost-effective healthcare. The ideal candidate has strong communication skills and a collaborative spirit, and is comfortable with 80% travel for in-person appointments. Competitive salary and comprehensive benefits offered.

Benefits

Full and comprehensive benefits program

24 days of paid vacation/holidays

Home office equipment provided

Mileage and travel reimbursement

Employee Assistance and Referral Program

Hands-on case management training

Qualifications

• 2+ years clinical practice preferred; workers' compensation-related experience preferred.
• Active Registered Nurse (RN) license required and in good standing.
• URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN, COHN/COHN-S, RN-BC, ACM, CMAC, CMC) required.

Responsibilities

• Work closely with treating physicians/providers to implement treatment plans.
• Ensure appropriate and cost-effective healthcare services.
• Independently manage workload and prioritize cases.

Skills

Advocating recommendations

Ability to work independently

Basic computer skills (Excel, Word, Outlook)

Strong written communication

Education

Associate's Degree or Bachelor's Degree in Nursing

Job description

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. 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.

Position

This is a full-time, work-from-home position. You must be located in the Columbus, OH area due to regular travel (80% of the time) 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.

Responsibilities

• Join compassionate team members to help make a positive difference in an injured person’s life.
• As a Field Case Manager, 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.
• 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 and determine whether injuries are occupational or non-occupational.
• Collaborate with treating physicians/providers and utilize resources to tailor treatment plans to individual patients.
• Work with employers and physicians to modify job duties where practical to facilitate early return to work.
• Evaluate and modify case goals based on patient improvement and treatment effectiveness.
• Independently manage workload, prioritize cases, and manage cases effectively.
• Attend injured worker appointments when appropriate, prepare status updates for submittal to customers, and perform other duties as assigned.

Qualifications

• Education: Associate’s 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 with physicians/providers, employers, and customers; ability to work independently; basic computer skills (Excel, Word, Outlook); strong written communication.
• Certifications, Licenses, Registrations:
  • Active Registered Nurse (RN) license required and in good standing.
  • URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN, COHN/COHN-S, RN-BC, ACM, CMAC, CMC).
• Travel: Must have reliable transportation to travel to in-person appointments within the assigned geography.
• Internet: Must have reliable internet access.

Benefits

We’re committed to supporting your well-being through our total compensation package, including Medical, Dental, Vision, HSA/FSAs, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and resources for healthier living. Benefits eligibility may differ by full-time/part-time status. Compensation depends on geographic market. The expected base pay for this position ranges from $75,600 - $89,000 annually, with eligibility for productivity-based bonuses. Total compensation varies by skills, experience, education, and performance.

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, disability status, or other protected characteristics.