Telephonic RN Case Manager

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 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.

About the role

The Telephonic Nurse Case Manager provides remote medical case management services to injured individuals, many of whom were industrially injured. A Telephonic Case Manager assists consumers in their recovery so they may return to the highest level of function possible. Medical services are coordinated and assessed frequently, vocational options are explored with the injured worker and their employers, and pre-injury employment or alternate employment is secured. The Telephonic Case Manager works with all parties to the claim, including the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense), and medical providers.

This position works Monday through Friday, 8 AM to 4:30 or 5 PM.

Responsibilities

• Provide remote medical case management services to injured individuals.
• Assist consumers in their recovery to return to the highest level of function 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, claim’s examiner, employer, attorneys, and medical providers.

Requirements

• Unencumbered Compact RN license (required).
• Additional unencumbered California RN license (required).
• Certified Case Manager (CCM) certification (required).
• Bilingual (Spanish speaking) preferred.
• Additional RN licenses from New York, Nevada, or Oregon (preferred).
• Other state endorsements/certifications: Maryland WCCM, Tennessee Registry, North Carolina QRP, Georgia Rehab (preferred).
• Worker’s compensation case management experience (preferred).
• ICU/ER experience (considered).
• Professional licenses or certifications 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.
  • Cell phone and internet reimbursement.
  • 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: 8-12 week new hire onboarding program through Paradigm’s Dedicated Training Department.