Nurse Case Manager - Dayton, OH
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. We are seeking a Field Nurse Case Manager to cover Dayton, OH and surrounding communities to include but not limited to Cincinnati and Columbus. A Field Nurse Case Manager is a hybrid position. The candidate must be located in the Dayton, OH area due to regular local travel (80% of the time) for in-person patient appointments. Candidate must be willing to travel and be licensed in OH. 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. Candidate must be willing to learn and take catastrophic cases.
Requirements
- Current, unencumbered Registered Nurse (RN) license in OH
- 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
- Must be located in the Dayton, OH area
- Willing to travel (80% of the time) for in-person patient appointments
- Licensed in OH
Nice To Haves
- Experience in case management of workers comp cases
- 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.
- Working with insurance carriers, medical care providers, attorneys, employers, and employees.
- Closely monitoring the progress of the injured worker and reporting results back to the employer and insurance carriers.
- Willingness to learn and manage 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
- A personal holiday
- One paid volunteer day per calendar year (full and part-time employees)
- 8-12 week new hire onboarding program through Dedicated Training Department
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
