Nurse Case Manager - Nashville, TN

ParadigmNashville, TN
Hybrid

About The Position

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses, pioneering value-based care since 1991. The company has an exceptional track record for generating outcomes for patients, payers, and providers, built on deep clinical expertise across risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. Paradigm has been recognized by Great Place to Work® and Fortune's Best Workplaces in Health Care™ for its positive, inclusive, and employee-centric culture. This role is for a Field Nurse Case Manager covering Nashville and surrounding communities. It is a field/home-based position requiring travel up to 2 hours one-way to various medical locations. The individual will be responsible for the medical case management of work-related injuries, including assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager collaborates with insurance carriers, medical care providers, attorneys, employers, and employees, monitoring injured workers' progress and reporting results. The role requires a willingness to learn and manage catastrophic cases.

Requirements

  • Current, unencumbered Registered Nurse (RN) license in TN
  • Recommended certifications (CCM, CRRN, CDMS, CRC) required within two years of the date of hire
  • 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
  • Bilingual Spanish

Responsibilities

  • Perform medical case management of work-related injuries
  • Conduct 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
  • Report results back to the employer 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 volunteer time (full and part-time employees)
  • 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

No Education Listed

Number of Employees

11-50 employees

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