Catastrophic Clinical Consultant, Case Management

Company Overview

The Enlyte Family of Businesses

Mitchell | Genex | Coventry

Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth.

Job Description

This is a full-time, remote position. The candidate must be located in MST or PST time zones within the US.

Perks: Salary + bonus structure, full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, and home office equipment including laptop and desktop monitor.

The Field Case Management Supervisor role is part of Enlyte’s National Catastrophic Program. In this collaborative and crucial role, you will be managing complex cases and providing support to field case managers. You will

• Provide support and guidance to field case managers
• Handle catastrophic referral intake processes
• Oversee and monitor catastrophic cases
• Maintain effective communication with customers
• Serve as a resource for Field Case Managers, offering guidance and coaching
• Ensure adherence to account-specific guidelines
• Navigate complex medical cases and provide expert oversight in catastrophic case management
• Collaborate with team members and stakeholders
• Communicate effectively with various parties involved in case management
• Coach and mentor field case managers to improve their skills and performance
• Monitor and evaluate the progress of catastrophic cases
• Facilitate effective transitions of care for complex patients
  
  
  

Qualifications

• Education: Associates Degree or Bachelor’s Degree in Nursing or related field.
• Experience: 3+ years clinical practice required. Workers’ compensation-related experience preferred. Expertise managing catastrophic claims preferred. Prior leadership and mentoring skills required.
• 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) required.
• Internet: Must have reliable internet.
  
  

Benefits

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market.

The expected base pay for this position ranges from $70,600 - $90,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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