Director of Clinical Management & Intake

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.

We are currently seeking a Director of Clinical Management & Intake to provide strategic and operational leadership for Workers' Compensation clinical services and intake operations, with direct accountability for developing and executing departmental strategy aligned with growth, service, quality, and financial objectives. This leader oversees teams of Nurse Case Managers, Clinical Support Coordinators, Intake Representatives, and administrative support staff, and holds ownership of departmental budgets, workforce planning, succession planning, and key performance metrics including referral turnaround time, clinical outcomes, network utilization, and client satisfaction.

The Director drives operational excellence, champions AI and automation initiatives, participates in business development efforts, and partners with claims leadership, medical providers, clients, and internal stakeholders to ensure high-quality, cost-effective clinical management services and positive outcomes for injured workers.

Candidates must reside in New Jersey or a surrounding state due to regular travel throughout New Jersey.

• Provide strategic leadership and operational oversight for the clinical case management organization, including RN and LPN Nurse Case Managers, Clinical Support Coordinators, and support staff. Develop and execute departmental strategy aligned with growth, service, quality, and financial objectives.
• Lead the intake organization and call center, ensuring accurate, efficient, and timely referral intake, triage, and case assignment processes.
• Ensure contractual service requirements, production targets, quality standards, and departmental objectives are consistently achieved.
• Conduct routine reviews of Nurse Case Manager caseloads and operational performance to ensure quality outcomes, regulatory compliance, and appropriate network utilization.
• Lead, mentor, and develop managers and staff, fostering a culture of accountability, collaboration, engagement, and continuous improvement. Drive workforce planning, organizational design, succession planning, and leadership development initiatives to build a sustainable talent pipeline.
• Serve as a client-facing leader who participates in RFP responses, finalist presentations, client retention efforts, implementation activities, and growth initiatives.
• Support client retention and revenue growth through strong relationship management, service excellence, business development participation, and the development of customized clinical management solutions.
• Build and maintain strong relationships with client service teams, claims professionals, medical providers, employers, and injured workers.
• Oversee case management activities designed to manage medical costs, improve in-network provider utilization, and enhance overall claim outcomes.
• Ensure compliance with all applicable Workers' Compensation regulations, state-specific requirements, and HIPAA privacy standards.
• Establish, monitor, and continuously improve quality assurance programs and service delivery standards.
• Review requests for specialty services and help direct care to appropriate in-network providers and clinical resources.
• Champion the adoption and implementation of technology, automation, AI solutions, and workflow redesign to drive productivity improvements, scalability initiatives, and enhanced service delivery. Lead efforts to identify and deploy innovative tools that improve operational efficiency and reduce manual processes.
• Provide oversight of call center operations and telephony systems, including quality monitoring, performance metrics, and recorded call reviews.
• Assume direct ownership and accountability for departmental budgets, staffing plans, productivity…