Nurse Case Manager - San Francisco, CA

California Nursing Students Association Incorporated; Daly City (CA); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health insurance

401(k) matching

Paid time off

Volunteer time

Learning & development

Job summary

Paradigm is seeking a Field Nurse Case Manager to cover San Francisco, CA and surrounding areas. This is a home-based role with travel to doctors’ offices, hospitals and other sites, requiring assessment, planning, coordination, implementation and evaluation of injured workers’ case management.

The successful candidate will hold a CA RN license, with preferred workers’ comp case management experience and relevant certifications; strong organization, communication, and patient education skills

Qualifications

• Active California RN license is required.
• Experience in workers' comp case management preferred.
• CCM/CRRN/CDMS/CRC certs strongly preferred and must be obtained within 2 years.
• Strong organizational and time-management skills.
• Good verbal and written communication; patient education focus.
• Valid driver's license with clean driving record.

Responsibilities

• Manage medical case load for work-related injuries from assessment to evaluation.
• Coordinate care with insurers, providers, attorneys, employers and employees.
• Monitor progress and report outcomes to employers and carriers.
• Develop and implement care plans and track timelines.

Skills

RN California license

Case management

Communication skills

Autonomous

Patient education

Driver's license

PC skills

Tools

CCM

CRRN

CDMS

CRC

Job description

Req Number: Req #1971

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 role of a nurse case manager at Paradigm.

We are seeking a Field Nurse Case Manager to cover San Francisco, 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.

• Meaningful work: better outcomes for all isn't just our tagline. It’s what guides us to do our best—every day. At Paradigm, you'll find an authentic connection between the work you do and your passion for making a difference in the world.
• Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job."
• Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.

Qualifications

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

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, 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 - 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.

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 [e-mail].

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 (§16.765). Poster link: Contract Compliance Law Poster

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Other details

PI287132528