[Hiring] Care Coordinator Specialist @Enlyte

Role Description

The Care Coordination Specialist works under RN supervision to provide coordinated care services for injured workers with low to moderate complexity claims. This position ensures continuity of medical services and facilitates communication between all parties involved while supporting return-to-work efforts within workers' compensation guidelines.

Key Responsibilities

• Care Coordination & Communication:
  • Coordinate routine medical care needs for assigned injured workers under established protocols.
  • Facilitate communication between injured workers, providers, employers, and adjusters for straightforward cases.
  • Collect and document clinical information from healthcare providers and claimants.
  • Schedule and coordinate medical appointments, diagnostics, and ancillary services.
  • Communicate work status updates to injured workers, employers, and claims adjusters.
• Case Management Support:
  • Follow established care plans and treatment protocols under RN supervision.
  • Monitor injured worker adherence to treatment plans and compare progress to established guidelines.
  • Maintain accurate documentation of medical history and case progress in WC system using approved formats.
  • Facilitate return-to-work efforts through coordination with employers and providers.
  • Escalate cases to RN supervision when clinical complexity increases beyond the scope.
• Administrative Functions:
  • Maintain and update case review notes and documentation on all assigned cases.
  • Complete time management tracking on all cases.
  • Attend team meetings and training sessions as scheduled.
  • Ensure cost containment through the utilization of in-network providers when appropriate.
  • Support network provider coordination efforts.

Qualifications

• High School Diploma required.
• Graduate of an accredited practical/vocational nursing program.
• Current compact LPN/LVN license in good standing.
• 2+ years of clinical experience required.
• Workers' compensation or disability management experience is highly preferred.
• Healthcare coordination and documentation experience preferred.
• Demonstrated organizational, technological, and communication skills.
• Basic understanding of disability management principles.
• Computer proficiency, including Microsoft Office Suite (Word, Excel), keyboard skills, and data entry capabilities.

Requirements

• Manage assigned caseload of low to moderate complexity workers' compensation claims.
• Achieve established metrics for routine case resolution and return-to-work outcomes.
• Maintain accurate and timely documentation per department standards.
• Escalate cases appropriately when clinical complexity exceeds the scope of practice.
• Demonstrate professional growth through continuing education and training participation.
• Support team objectives and departmental goals.

Benefits

• Medical, Dental, Vision.
• Health Savings Accounts / Flexible Spending Accounts.
• Life and AD&D Insurance.
• 401(k).
• Tuition Reimbursement.
• An array of resources that encourage a lifetime of healthier living.
• Compensation ranges from $18.23 - $28.85 hourly, based on skills, experience, and education.