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’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 hiring a Field Nurse Case Manager to support injured workers throughout Virginia Beach and nearby communities, including Williamsburg, Newport News, and Hampton. A Field Case Manager role is a hybrid position. The candidate must be located in the Virginia Beach area due to regular local travel (80% of the time) for in-person patient appointments. You must be willing to travel and have a compact RN license in the state of MD. 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 VA
- 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
- Compact RN license in the state of MD
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 for full and part-time employees
- 8-12 week new hire onboarding program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
