A Clinical Case Manager coordinates medical care and provides advocacy to help people get the best and most affordable care. Helps patients navigate insurance and hospital bureaucracies and access information. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment and travel to different doctors' offices, hospitals or a patient's home.
Genex Service LLC Telephonic Case Manager US--Remote Job ID:
26-18978
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, flexible work from home position and can be located anywhere in the U.S.
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, 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 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 prepare status updates for submittal to customers, assist 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 Registered Nurse (RN) license required. Must be in good standing. URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or
