Catastrophic Nurse Case Manager - Baltimore, MD

About the role

The Field Case Manager role is a home-based position with travel, up to 2 to 3 hours one-way, to doctors’ offices, hospitals, and various other locations. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals.

Responsibilities

• Work with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitor the progress of the injured worker and report results back to the employer and insurance carriers.
• Collaborate with other departments to ensure seamless patient care and compliance with regulatory standards.
• Ensure timely and accurate documentation of all case management activities.
• Provide education and support to injured workers and their families regarding their medical condition and treatment plan.
• Monitor and manage the cost-effectiveness of medical services provided to the injured worker.
• Conduct regular reviews of the injured worker’s condition and make recommendations for further treatment or referral as necessary.

Requirements

• Current, unencumbered Registered Nurse (RN) license in MD, DC, and PA.
• RN - WCCM required, Registered with MCRSP within 30 days of start date.
• Experience in worker’s compensation catastrophic case management is required. Experience may include: critical care experience, catastrophic injury/illness case management, and/or disability management.
• Clinical experience in acquired brain injury, spinal cord injury, multiple trauma (including amputation), and/or burns.
• Recommended certifications (CCM, CRRN, CDMS, COHN) preferred.
• Ability to occasionally work outside of traditional business hours (evenings or weekends) if needed to meet the needs of the claim.

Qualifications

• Organization and timeline adherence;
• PC and technology skills;
• Communication (written, verbal and interpersonal).

Skills Needed

• Organization and timeline adherence;
• PC and technology skills;
• Communication (written, verbal and interpersonal).

Benefits

• Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives- Paradigm’s financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
• Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
• Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
• Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.