Field Case Management QA Supervisor

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 The Field Case Management (FCM) QA Supervisor supports quality assurance operations at the customer account level under the direction of the FCM Senior Manager, QA. This hands-on role focuses on the day-to-day review of case files, application of customer-specific quality standards and special handling instructions, and supervisory staffing of case manager files. The FCM QA Supervisor identifies improvement opportunities within case documentation and service delivery, providing case managers with clear, actionable feedback to reinforce quality expectations and drive continuous performance improvement. Customer-Specific Quality Review Review case files, reports, and billing documentation against customer-specific quality standards and special handling instructions Apply and maintain working knowledge of customer account requirements consistently across all assigned file reviews Verify billing accuracy and adherence to customer-specific billing guidelines, identifying and communicating discrepancies or documentation gaps to the FCM Senior Manager, QA. Identify and document improvement opportunities where case documentation, service delivery, or billing falls short of customer expectations Supervisory Staffing & File Review Conduct regular supervisory staffing reviews to assess case status, quality, completeness, accuracy, and overall file integrity Identify stalled, at-risk, or non-compliant cases and communicate findings to case managers in a clear and professional manner Support case managers in refining approaches to maintain file quality and momentum Escalate complex, high-risk, or significantly non-compliant cases to the FCM QA Manager as appropriate Document staffing notes, identified improvement opportunities, and agreed-upon follow-up actions accurately and in a timely manner Deliver clear, specific, and constructive feedback to case managers framed as development opportunities to foster a supportive and growth-oriented environment Reporting & Documentation Complete and submit quality review documentation, staffing notes, and findings accurately and on time Maintain organized records of case review activities, feedback delivered, and follow-up outcomes Contribute to periodic quality trend reports and surface patterns to the FCM Senior Manager, QA to inform team-wide coaching or process improvements Qualifications Education & Licensure Active licensure as a Registered Nurse (RN) or Vocational Rehabilitation Specialist (VRC/CDMS) is required Candidates must maintain licensure in good standing throughout employment Additional professional certifications (e.g., CCM, CMC, CRRN, CDMS) are a plus No specific degree requirement: equivalent experience and licensure are accepted Experience 3+ years of experience in field case management within a workers' compensation setting required Prior supervisory, lead, or mentoring experience strongly preferred Experience with customer-specific program standards and file reviews or case staffing preferred Background in quality assurance, case auditing, or compliance review is an advantage Core Competencies Strong attention to detail with a quality-focused mindset Clear and professional written and verbal communication skills Ability to deliver feedback in a supportive and constructive manner Effective time management with ability to manage multiple priorities and competing demands Dependable, accountable, and team-oriented with a commitment to continuous improvement Ability to follow established guidelines, apply customer-specific standards, and escalate appropriately Collaborative and approachable; able to build trust with case managers while maintaining quality standards Technical Skills Proficiency with case management systems and documentation platforms used in field case management operations Demonstrated ability to utilize Artificial Intelligence (AI) tools and technology to enhance workflow efficiency, streamline documentation, and support quality review processes Comfortable adopting and applying emerging technologies as introduced by the organization Competency in Microsoft Office Suite (Word, Excel, Outlook) or equivalent productivity tools 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 $81,500 - $98,000 annually, and will be based on a number of additional factors including skills, experience, and education. 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. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

Responsibilities

The Field Case Management (FCM) QA Supervisor supports quality assurance operations at the customer account level under the direction of the FCM Senior Manager, QA. This hands-on role focuses on the day-to-day review of case files, application of customer-specific quality standards and special handling instructions, and supervisory staffing of case manager files. The FCM QA Supervisor identifies improvement opportunities within case documentation and service delivery, providing case managers with clear, actionable feedback to reinforce quality expectations and drive continuous performance improvement. Customer-Specific Quality Review Review case files, reports, and billing documentation against customer-specific quality standards and special handling instructions Apply and maintain working knowledge of customer account requirements consistently across all assigned file reviews Verify billing accuracy and adherence to customer-specific billing guidelines, identifying and communicating discrepancies or documentation gaps to the FCM Senior Manager, QA. Identify and document improvement opportunities where case documentation, service delivery, or billing falls short of customer expectations Supervisory Staffing & File Review Conduct regular supervisory staffing reviews to assess case status, quality, completeness, accuracy, and overall file integrity Identify stalled, at-risk, or non-compliant cases and communicate findings to case managers in a clear and professional manner Support case managers in refining approaches to maintain file quality and momentum Escalate complex, high-risk, or significantly non-compliant cases to the FCM QA Manager as appropriate Document staffing notes, identified improvement opportunities, and agreed-upon follow-up actions accurately and in a timely manner Deliver clear, specific, and constructive feedback to case managers framed as development opportunities to foster a supportive and growth-oriented environment Reporting & Documentation Complete and submit quality review documentation, staffing notes, and findings accurately and on time Maintain organized records of case review activities, feedback delivered, and follow-up outcomes Contribute to periodic quality trend reports and surface patterns to the FCM Senior Manager, QA to inform team-wide coaching or process improvements

Qualifications

Education & Licensure Active licensure as a Registered Nurse (RN) or Vocational Rehabilitation Specialist (VRC/CDMS) is required Candidates must maintain licensure in good standing throughout employment Additional professional certifications (e.g., CCM, CMC, CRRN, CDMS) are a plus No specific degree requirement: equivalent experience and licensure are accepted Experience 3+ years of experience in field case management within a workers' compensation setting required Prior supervisory, lead, or mentoring experience strongly preferred Experience with customer-specific program standards and file reviews or case staffing preferred Background in quality assurance, case auditing, or compliance review is an advantage Core Competencies Strong attention to detail with a quality-focused mindset Clear and professional written and verbal communication skills Ability to deliver feedback in a supportive and constructive manner Effective time management with ability to manage multiple priorities and competing demands Dependable, accountable, and team-oriented with a commitment to continuous improvement Ability to follow established guidelines, apply customer-specific standards, and escalate appropriately Collaborative and approachable; able to build trust with case managers while maintaining quality standards Technical Skills Proficiency with case management systems and documentation platforms used in field case management operations Demonstrated ability to utilize Artificial Intelligence (AI) tools and technology to enhance workflow efficiency, streamline documentation, and support quality review processes Comfortable adopting and applying emerging technologies as introduced by the organization Competency in Microsoft Office Suite (Word, Excel, Outlook) or equivalent productivity tools