Nurse Case Manager - East Bay, CA

Overview

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.

The Surprising Truth About Case Management - Paradigm

Watch this short video for a brief introduction to the role of a nurse case manager at Paradigm.

We are seeking a Field Nurse Case Manager to cover the East Bay Area in CA, and surrounding areas
. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip per appointment). These appointments would be to doctors’ offices, hospitals, and various other locations. There may be multiple appointments in 1 day. 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.

At Paradigm, People Come First

It's more than a job. It's a passion. Work at Paradigm, and you’ll find deep satisfaction knowing you’re making a profound difference in people’s lives.

• Provide medical case management for work-related injuries, including assessment, planning, coordination, implementation, and evaluation.
• Coordinate with insurance carriers, medical care providers, attorneys, employers, and employees; monitor progress and report results to employers and carriers.
• Travel to doctors’ offices, hospitals, and other locations; handle multiple appointments in a single day as needed.

• Current, unencumbered Registered Nurse (RN) license in California
• Experience in case management of workers’ compensation cases, preferred
• Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date
• Skills:
  
  organization and timeline adherence, PC and technology proficiency, written/verbal/interpersonal communication
• Ability to operate autonomously with minimal oversight
• Skilled at patient education
• Valid driver’s license and good driving history

• Health and wellness: PPO, HDHP, and HMO options with Cigna and Kaiser (CA employees only)
• Financial incentives: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement, 401(k) matching, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions
• Vacation: paid time off, paid holidays, and a personal holiday
• Volunteer Time: one paid day per calendar year for full and part-time employees
• Learning and development: onboarding program and ongoing training resources

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 leav

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.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law. Poster link:
Contract Compliance Law Poster