Telephonic Nurse Case Manager

About the role

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm's business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. We're proud to be recognized—again! For the fourth year in a row, we've been certified by Great Place to Work®, and for the third consecutive year, we've earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Responsibilities

• Provide remote medical case management services to injured individuals, many of whom were industrially injured
• Assist consumers in their recovery so that they may return to the highest level of function as possible
• Coordinate and assess medical services frequently
• Explore vocational options with the injured worker and their employers
• Secure pre-injury employment or alternate employment
• Work with all parties to the claim including: the injured person, the claim's examiner, employer, attorneys (plaintiff and defense), and medical providers

Qualifications

• Unencumbered compact RN license required
• Additional unencumbered CA RN license preferred
• CCM strongly preferred
• Case Managers may also need regional or national certifications and must adhere to the standards of practice outlined by the specific national certifying body or the jurisdictionally accepted standards of practice
• Professional licenses or certifications required to meet qualifications for this position must be current, unrestricted and allow for practice within a state or territory of the United States

Benefits

• Health and wellness – PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only)
• Financial incentives – 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 – paid time off, paid holidays, and a personal holiday
• Volunteer Time – one paid day per calendar year for full and part-time employees
• Learning and development – Dedicated Training Department that offers an 8-12 week new hire onboarding program