Nurse Case Manager - Fredericksburg, VA

Paradigm•Dumfries, VA

1d•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. Paradigm has been certified by Great Place to Work® for four years in a row and earned a spot on Fortune's Best Workplaces in Health Care™ list for three consecutive years. This Field Nurse Case Manager role is a field / home-based position covering Fredericksburg and surrounding communities, including Alexandria, Dumfries, Chantilly, and Ashburn. It involves travel up to 2 hours one-way 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 monitoring the progress of the injured worker and reporting 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
Current, unencumbered Registered Nurse (RN) license in DC (required within 30 days of start date)
Must be willing to learn and take catastrophic cases
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
Recommended certifications (CCM, CRRN, CDMS, CRC) REQUIRED within two years of the date of hire

Nice To Haves

Experience in case management of workers comp cases

Responsibilities

Medical case management of work-related injuries
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 full and part-time employees to volunteer
Dedicated Training Department that offers an 8-12 week new hire onboarding program