Telephonic Case Manager

About This Role

This full-time, flexible work-from-home position involves working closely with various stakeholders to create and implement treatment plans for individuals recovering from workplace injuries or auto accidents. The role focuses on ensuring appropriate and cost-effective healthcare services, achieving maximum medical recovery, and facilitating a return to an optimal level of work and functioning.

Responsibilities

• 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 prepare status updates for submittal to customers, assist in training/orientation of new staff as requested, and other duties as assigned

Requirements

• Associates Degree or Bachelor's Degree in Nursing or related field
• 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)
• 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
• Reliable internet

Nice to have:

• 2+ years clinical practice
• Workers' compensation-related experience

Benefits

• 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
• Employee Assistance and Referral Program
• Hands-on workers’ compensation case management training

About the Company

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. The company is committed to protecting dreams and restoring lives, while fostering an environment that values collaboration, innovation, and personal growth.