Telephonic RN 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.

The Surprising Truth About Case Management - Paradigm Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.

Responsibilities

• Provides remote medical case management services to injured individuals, many of whom were industrially injured.
• Assists consumers in their recovery so that they may return to the highest level of function as possible.
• Coordinates and assesses medical services frequently.
• Explores vocational options with the injured worker and their employers.
• Secures pre-injury employment or alternate employment.
• Works with all parties to the claim including: the injured person, the claim's examiner, employer, attorneys (plaintiff and defense), and medical providers.

Qualifications

• Unrestricted compact RN required.
• Additional RN license from CA, NY, NV, and/or OR preferred.
• Bilingual (Spanish speaking) preferred.
• CCM preferred (required within 2 years of hire).
• Other state endorsements/certifications: WCCM, TN Registry, NCIC, GA Rehab Suppliers.
• Worker's compensation case management experience preferred.
• ICU/ER experience will be considered.
• 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.

Schedule

Monday through Friday, 8 AM to 5 PM Mountain or Pacific Time.

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: Full and part-time employees receive one paid day per calendar year to engage with and give back to their communities.
• Learning and development: Dedicated Training Department that offers an 8-12 week new hire onboarding program.