Telephonic Case Manager
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 full-time, benefitted Telephonic Case Manager with compact RN license (and preferred additional CA RN license) to work Monday – Friday in Central time zone. As a Telephonic Case Manager (TCM), you will provide remote medical case management services to injured individuals, many of whom were industrially injured. This position will assist consumers in their recovery so that they may return to the highest level of function as possible. The TCM ensures that medical services are coordinated and assessed frequently, vocational options are explored with the injured worker and their employers, and pre-injury employment or alternate employment is secured. In the role of TCM, this position works with all parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers.
Requirements
- Unencumbered compact RN license required
- Professional licenses or certifications required to meet qualifications for this position must be current, unrestricted and allow for practice within a state or territory of the United States
Nice To Haves
- Additional unencumbered CA RN license preferred
- CCM strongly preferred
- Case Managers may also need regional or national certifications and must adhere to the standards of practice outlined by the specific national certifying body or the jurisdictionally accepted standards of practice.
Responsibilities
- Provide remote medical case management services to injured individuals, many of whom were industrially injured.
- Assist consumers in their recovery so that they may return to the highest level of function as possible.
- Ensure that medical services are coordinated and assessed frequently.
- Explore vocational options with the injured worker and their employers.
- Secure pre-injury employment or alternate employment.
- Work with all parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers.
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 volunteer day per calendar year
- 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
High school or GED
