Telephonic Nurse Case Manager

Paradigm

2d•$86,000 - $92,000•Remote

About The Position

Paradigm is seeking a full-time, benefitted Telephonic Case Manager with a compact RN license and CCM to work Monday through Friday in the Eastern time zone. The role provides remote medical case management services to injured individuals, many of whom have experienced industrial injuries. The case manager supports recovery toward the highest possible level of function by coordinating and frequently assessing medical services, exploring vocational options with injured workers and employers, and helping secure pre-injury or alternate employment. The position works with all parties to a claim, including the injured person, claims examiner, employer, plaintiff and defense attorneys, and medical providers. Paradigm is an accountable specialty care management organization focused on improving outcomes for people with complex injuries and diagnoses. Its services include risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs. The company describes its culture as collaborative, inclusive, and employee-centric, with a focus on service, expertise, and meaningful work.

Requirements

Current, unrestricted compact RN license allowing practice within a U.S. state or territory.
National certification required; examples listed are CCM, CRRN, CDMS, or COHN.
Professional licenses or certifications required for the position must be current, unrestricted, and permit practice within a U.S. state or territory.
Work Monday through Friday in the Eastern time zone.

Nice To Haves

Bilingual Spanish-speaking ability.
Additional state certifications or endorsements that may be requested at or soon after hire: Tennessee BWC, Georgia Rehab Supplier, North Carolina QRP, and/or Maryland RN WCCM / MCRSP.
Regional or national certifications may also be needed.

Responsibilities

Provide remote medical case management services to injured individuals.
Assist consumers in their recovery so they can return to the highest level of function possible.
Coordinate medical services and assess them frequently.
Explore vocational options with injured workers and their employers.
Help secure pre-injury employment or alternate employment.
Work with all parties to the claim, including injured persons, claims examiners, employers, attorneys, and medical providers.
Adhere to standards of practice outlined by the relevant national certifying body or jurisdictionally accepted standards of practice.

Benefits

PPO, HDHP, and HMO health insurance options through Cigna and Kaiser (Kaiser for California employees only).
Competitive salaries.
401(k) matching contributions.
Employer-paid life and disability insurance.
Flexible spending accounts.
Employer-matched HSA contributions.
Paid time off.
Paid holidays.
Personal holiday.
One paid volunteer day per calendar year for full-time and part-time employees.
Learning and development opportunities.