Telephonic Nurse Case Manager

Paradigm • Pittsburgh, PA

14h • Remote

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. Watch this short video for a brief introduction to role of a nurse case manager at Paradigm. We are seeking a Telephonic Nurse Case Manager with MD or PA compact RN license to work Monday - Friday, 8 AM to 5 PM. Bilingual (Spanish speaking) is strongly preferred. Candidates with additional RN licensure from NY and PA will also be given preference. The Telephonic Case Manager provides remote medical case management services to injured individuals, many of whom were industrially injured. A Telephonic Case Manager assists consumers in their recovery so that they may return to the highest level of function as possible. 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. The Telephonic Case Manager works with all parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers.

Requirements

• Unrestricted compact RN 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 RN license from NY and MA preferred
• CCM strongly preferred
• WCCM strongly preferred
• Bilingual (Spanish speaking) strongly preferred
• Worker’s compensation case management experience preferred
• ICU/ER experience experience will be considered

Responsibilities

• Provides remote medical case management services to injured individuals
• Assists consumers in their recovery so that they may return to the highest level of function as possible
• Medical services are coordinated and assessed frequently
• Vocational options are explored with the injured worker and their employers
• Pre-injury employment or alternate employment is secured
• Works with all parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers.

Benefits

• Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives- Paradigm’s financial benefits help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, cell phone and internet reimbursement, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.
• Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.
• Volunteer Time - We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
• Learning and development - One of Paradigm's core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8-12 week new hire onboarding program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees