Title: Medical Field Case Manager - Spanish Speaking Location: Bolingbrook, Illinois United States Work Type: Hybrid, Full Time Job ID: 18807 Job Description: 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 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. Job Description This is a full-time, hybrid position. You must be located in the Bolingbrook, IL area due to regular local travel (60% of the time) for in-person patient appointments. This position requires you to be fluent in Spanish. Case Manager Perks: Mileage Reimbursement Travel Reimbursement Professional Time Bonus Plan 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, mileage and travel reimbursement, 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 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, 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 attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, 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. - Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography. - 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 $70,000 - $83,000 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.

Lead the development of clinical pharmacology plans, guide cross-functional collaborations on drug interactions, and oversee regulatory documentation while providing mentorship and career development for staff within the department.

Title: Registered Nurse - Outpatient - Behavioral Health Location: Indianapolis United States Schedule & Shift Full Time Day Requisition Number 415644 Job Description: Overview Part and Full-time roles are eligible for a $30,000 sign-on bonus — apply today to learn more! We are seeking an individual with a minimum of one year of RN experience for this role. Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: https://iuhealth.org/applyrn. This pipeline requisition allows the IU Health Talent Acquisition team to pair upcoming & recent nurse graduates with the best opportunities available to them based on their unique skillset and interests. Thanks for your interest in joining the team! IU Health is seeking expert RN's who will have the opportunity to collaborate with the brightest minds in medicine. At IU Health, you will develop in significant ways, advancing healthcare for all! Being an IU Health nurse means building a professional nursing career designed with competitive benefits, a culture that accepts your outstanding strengths, and supports your personal and professional goals. If you are seeking an organization where you can engage expertly, develop clinical expertise, embrace learning, cultivate new relationships, and fuel your spirit of inquiry, apply today! We are seeking an RN to support our Behavioral Health clinic. Duties and responsibilities include assisting providers with medication refills, addressing patient questions and concerns, administering injections, and supporting our addictions clinic. This RN will rotate between three locations - 6820 Parkdale Place Suite 115, 8820 South Meridian, and 9670 East Washington Street, working alongside another RN to ensure consistent coverage. Travel between these sites is required. Our clinic offers unique opportunities to work closely with Behavioral Health and addiction services, providing impactful and meaningful patient care. Schedule: Monday - Friday, 8:00 am - 5:00 pm | This position has potential to become hybrid, allowing work between home and the office. No weekends! No holidays! - Requires an Associates of Nursing (ASN); Bachelors of Nursing (BSN) preferred. - Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license. - Requires that the RN has graduated from a nationally accredited nursing program. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of relevant clinical experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO). - Requires Basic Life Support certification through the AHA. - Other advanced Life Support certifications may be required per unit/department specialty according to patient care policies. - May require ability to assess patients without face-to-face interaction. - Requires awareness and understanding of legal implications of patient care activities and performance as a Registered Nurse. We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Title: Clinical Pharmacist - NC Location: NC United States Job Id: 161896 Job Category: Job Location: NC, North Carolina Security Clearance: No Clearance Business Unit: Piper Companies Division: Piper Clinical Solutions Job Description: Piper Companies is seeking a Clinical Pharmacist to join a leading organization in the healthcare insurance industry for a fully remote contract position based out of NC. The Clinical Pharmacist will support Medicare Case Management operations and perform comprehensive clinical reviews for a major healthcare payer. Responsibilities of the Clinical Pharmacist include: - Conduct comprehensive case reviews, including evaluation of member medications and prior authorization requests - Make determinations for drug products based on benefits, clinical criteria, and regulatory guidelines - Track and report utilization review statistics, compliance metrics, and daily review numbers - Provide clinical support and guidance to pharmacy technicians - Research drug information and maintain up‑to‑date knowledge of drug coding and NCPDP claims adjudication systems Qualifications for the Clinical Pharmacist include: - Bachelor's degree or advanced degree - At least 3 years of relevant clinical pharmacy experience - Current and active pharmacy license in an approved state - Previous remote/work‑from‑home experience - Knowledge of NDC, GCN, GPI, USC, and prior authorization guidelines Compensation for the Clinical Pharmacist: - Salary Range: $114,000-$124,000/year (USD) - Comprehensive Benefits: Medical, Dental, Vision, sick leave if required by law, and 401K Keywords: pharmacy, clinical pharmacist, Medicare case management, prior authorization, drug review, NCPDP, NDC, GPI, utilization management, clinical criteria, pharmacy benefit, medication review, remote pharmacist, healthcare insurance, compliance, drug coding #LI-MB1 #LI-REMOTE