Catastrophic​/Field Nurse Case Manager - Rochester, NY

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

We are seeking an experienced Nurse Case Manager interested in working with injured workers and workers’ compensation cases to cover Rochester, NY and surrounding communities including Bloomfield, Palmyra, Geneva, and Auburn. This role is a home-based position with travel up to 2 hours one-way (4 hours round-trip) to doctors’ offices, hospitals, and various other locations. 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.

The Case Manager is responsible for the medical case management of work-related injuries, including assessment, planning, coordination, implementation, and evaluation. Interfaces with insurance carriers, medical care providers, attorneys, employers, and employees; closely monitors progress and reports results to the employer and insurance carriers.

• Current, unencumbered registered nurse (RN) license in NY
• Experience in workers’ compensation catastrophic case management is preferred. Experience may include:
  • Critical care experience, catastrophic injury/illness case management, and/or disability management
  • Clinical experience in acquired brain injury, spinal cord injury, multiple trauma (including amputation), and/or burns
• Recommended certifications (CCM, CRRN, CDMS, CRC). REQUIRED within two years of the date of hire
• Ability to occasionally work outside of traditional business hours (evenings or weekends) if needed to meet the needs of the claim
• Skills needed: organization and timeline adherence; PC and technology; communication (written, verbal and interpersonal)
• Valid driver’s license, and good driving history

• Health and wellness – PPO, HDHP, and HMO health insurance 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 (federal rate), 401(k) matching contributions, 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 through our Dedicated Training Department (8-12 weeks).

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We strive to build a culture that reflects society and empowers our team to deliver compassion and care. We comply with federal and state disability laws and provide accommodations as needed. 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, veteran status, disability, or any other federal, state or local protected class.

Locations include Waterloo, NY 13165, USA;
Syracuse, NY, USA;
Canandaigua, NY 14424, USA;
Bloomfield, NY 14469, USA;
Geneva, NY 14456, USA;
Rochester, NY, USA;
Auburn, NY 13021, USA;
Seneca Falls, NY 13148, USA.

Req Number: Req #1587

Other details – See above information for role details.