Nurse Case Manager - Virginia Beach, VA
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 seeking a Field Nurse Case Manager to cover Virginia Beach and surrounding communities including Norfolk, Newport News, Chesapeake, and Hampton. This role is a field/home-based position requiring travel, up to 2 hours one-way (4 hours round trip), to doctors’ offices, hospitals, and various other locations. The 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, closely monitors the progress of the injured worker, and reports results back to the employer and insurance carriers. The role requires a willingness to learn and take catastrophic cases.
Requirements
- Current, unencumbered Registered Nurse (RN) license in VA
- Must be willing to learn and take catastrophic cases
- Recommended certifications (CCM, CRRN, CDMS, CRC) required within two years of the date of hire
- Possess organization and timeline adherence skills
- Proficiency in PC and technology skills
- Strong 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
Responsibilities
- Perform medical case management of work-related injuries
- Conduct assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals
- Collaborate with insurance carriers, medical care providers, attorneys, employers, and employees
- Closely monitor the progress of injured workers
- Report results back to employers and insurance carriers
- Be willing to learn and take catastrophic cases
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
- Personal holiday
- One paid day per calendar year for full and part-time employees for volunteer time
- 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
Associate degree
Number of Employees
11-50 employees
