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 Watch this We are seeking a full-time remote Clinical Coordinator (LPN or RN). The position is responsible to coordinate and manage a range of medical and health care related services to designated clients, communicating with patients, employers, providers, adjusters, etc. to determine appropriate treatment, and to secure a timely return to work status for the injured workers. Previous Workers’ Compensation Case Management experience is desirable.
Hours: Monday – Friday, 11a-7:30p (ET) and will include call one week every other month.
Responsibilities:
- Provide appropriate follow up with supervisor, co-workers, case managers, and providers regarding updates, reported complaints and concerns.
- Collaborate effectively with all departments through interdepartmental referrals and communication.
- Provide excellent customer service to internal and external customers
- Plan and complete job duties, organizing individual caseload to meet jurisdictional and Best Practice Standards for timeliness, notification, and documentation requirements.
- Independently research, review, analyze and prepare medical information, document pertinent information in the case file notes, apply evidence based established guidelines to support case management interventions and facilitate the case management process, collaborating objectively with case managers, adjusters, and internal departments for case resolution
- Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI), employee, and operations data.
- Precept new staff within the department as requested. Assist with on-call duties on assigned weeknights or weekends.
Qualifications:
- Current RN or LPN state licensure in good standing with the State Board of Nursing.
- Work Comp Case Management experience with at least three (3) years hospital/clinical experience in Orthopedics, Neurology, Occupational Health, Med/Surg or other comparable clinical discipline.
- Knowledgeable of injured worker’s rights and ability to ensure an atmosphere which to promote the privacy, dignity, and well-being of injured workers.
- Excellent verbal and written communication, cooperation, service excellence, and effective conflict resolution skills.
- Address concerns with tact and provide appropriate follow up; proficient reading, writing, grammar, and mathematics skills; strong knowledge of medical terminology; Excellent organizational, prioritization, and multi-tasking skills; Excellent computer skills (e.g., Outlook, Teams, to be trained on proprietary software).
- Comply with all regulatory requirements, current laws and policies which protect workers from harassment and all illegal and discriminatory behavior. Comply with the applicable Quality Assurance initiatives.
- Complete requirements for required training, demonstrate acceptable attendance, and appropriate personal appearance.
Paradigm 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, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
- Vacation – We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
- 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, including our new Learning Excellence at Paradigm (LEAP) program.
Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.