Field Nurse Case Manager - St. Louis, MO

ParadigmSt. Louis, MO
Hybrid

About The Position

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. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip), 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. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.

Requirements

  • Current, unencumbered Registered Nurse (RN) license in Missouri required
  • Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)
  • Ability to operate autonomously with minimal oversight
  • Skilled at patient education
  • Valid driver’s license and good driving history

Nice To Haves

  • Bilingual (Spanish speaking) preferred
  • Experience in case management of workers comp cases strongly preferred
  • Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred (must obtain within two years of hire date)

Responsibilities

  • Medical case management of work-related injuries, including assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals.
  • Work with insurance carriers, medical care providers, attorneys, employers, and employees.
  • Closely monitor the progress of the injured worker and report results back to the employer and insurance carriers.

Benefits

  • Health insurance options (PPO, HDHP, and HMO)
  • 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
  • Employer-matched HSA contributions
  • Paid time off
  • Paid holidays
  • Personal holiday
  • One paid volunteer day per calendar year
  • Dedicated Training Department that offers an 8-12 week new hire onboarding program
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