[Hiring] Telephonic Case Manager @Enlyte

Role Description

This is a temporary, full-time, flexible work-from-home position. Anticipated assignment length is at least 6 months. Candidate must be located in the Eastern Standard Time zone. You must possess an active New Jersey RN or LPN license.

Join our compassionate team and help make a positive difference in an injured person’s life. As a Telephonic 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 preparing status updates for submittal to customers, assisting in training/orientation of new staff as requested, 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 Licensed Practical Nurse (LPN) or 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) preferred.
• Internet: Must have reliable internet.

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 depends on the applicable US geographic market. The expected base pay for this position ranges from $61,400 - $72,000 annually, based on skills, experience, and education.