Nurse Case Manager - Baltimore, MD

ParadigmBaltimore, MD
Remote

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 are hiring a Field Nurse Case Manager to support injured workers throughout Baltimore and nearby communities, including Phoenix, Towson, Aberdeen, Middle River, and other surrounding areas. A Field Case Manager role is a field / home-based position with travel, up to 2 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. 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 MD
  • RN - WCCM required
  • Registered with MCRSP within 30 days of start date
  • Must be willing to learn and take catastrophic cases
  • 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

  • Experience in case management of workers comp cases, preferred
  • Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. REQUIRED within two years of the date of hire

Responsibilities

  • Assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals.
  • Works with insurance carriers, medical care providers, attorneys, employers, and employees.
  • Closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.

Benefits

  • PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only)
  • 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
  • A 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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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

11-50 employees

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