Medical Field Case Manager

Company 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 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 a commitment to excellence and make a meaningful impact.

Job Description

This is a full‑time, hybrid position located in the Sioux Falls, SD area. The role requires regular local travel (60% of the time) for in‑person patient appointments. As a Field 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, ensures cost‑effective healthcare services, and achieves maximum medical recovery and optimal level of work and functioning.

Perks

• Mileage reimbursement
• Case Management Bonus Plan
• Full and comprehensive benefits program
• 24 days of paid vacation/holidays in the 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

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 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 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 the injured/disabled person’s improvement and treatment effectiveness.
• Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
• Attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and perform other duties as assigned.

Qualifications

• Associate’s Degree or Bachelor’s Degree in Nursing or related field.
• 2+ years clinical practice preferred.
• Workers’ compensation‑related experience preferred.
• Active Registered Nurse (RN) license in good standing.

Skills

• Ability to advocate recommendations effectively with physicians/providers, employers, and customers.
• Ability to work independently.
• Basic computer skills including Excel, Word, and Outlook Email.
• Proficient grammar, sentence structure, and written communication skills.

Certifications

• URAC‑recognized certification in case management preferred (CCM, CDMS, CRC, CRRN, COHN, COHN‑S, RN‑BC, ACM, CMAC, CMC).

Travel

Must have reliable transportation and be able to travel to and attend in‑person appointments with injured workers in the assigned geography.

Internet

Must have reliable internet.

Benefits

• Medical, Dental, Vision coverage
• Health Savings Accounts / Flexible Spending Accounts
• Life and AD&D Insurance
• 401(k) plan
• Tuition Reimbursement
• Resources encouraging a lifetime of healthier living

Compensation

The expected base pay for this position ranges from $86,000 to $92,000 annually. In addition to the base salary, you will be eligible to participate in a productivity‑based bonus program. Total compensation, including base pay and potential bonus, will be based on skills, experience, education, and performance metrics.