Catastrophic Nurse Case Manager - Los Angeles, CA Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. Since 1991, we have pioneered value?based care and consistently generate the best outcomes for patients, payers, and providers. Our deep clinical expertise underpins every business function: risk?based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.
Were proud to be recognizedagain! For the fourth year in a row, weve been certified by Great Place to Work and, for the third consecutive year, weve earned a spot on Fortunes Best Workplaces in Health Care list.
Position Overview We are seeking a Catastrophic Field Nurse Case Manager to work with injured workers and workers compensation claims across the greater Los Angeles, CA area. This home?based position requires up to two hours one?way travel to doctors offices, hospitals, and other locations. The Case Manager is responsible for the medical case management of work?related injuries, including assessment, planning, coordination, implementation, and evaluation of injured or disabled individuals. The Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, closely monitors progress, and reports results back to the employer and insurance carriers.
Key Responsibilities
Conduct comprehensive medical case management for catastrophic worker injuries.
Assess, plan, coordinate, implement, and evaluate care for injured or disabled individuals.
Collaborate with insurance carriers, medical care providers, attorneys, employers, and employees.
Monitor progress of injured workers and report outcomes to stakeholders.
Occasionally work outside of traditional business hours (evenings or weekends) when required.
Qualifications Current, unencumbered registered nurse (RN) license in California.
Experience in workers compensation catastrophic case management (preferred).
Relevant clinical experience: critical care, catastrophic injury/illness case management, disability management, acquired brain injury, spinal cord injury, multiple trauma (including amputation), burns.
Recommended certifications: CCM, CRRN, CDMS, CRC. If not currently certified, willingness to obtain certification within 2 years.
Ability to occasionally work outside of traditional business hours (evenings or weekends) if needed.
Strong organizational skills, timeline adherence, PC and technology proficiency, effective written and verbal communication.
Valid drivers license and good driving history.
Benefits Health and wellness: choice of PPO, HMO, or HDHP health insurance through Cigna and Kaiser (CA employees only).
Financial incentives: competitive salaries, 5% premium bonus over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), employer?paid life and disability insurance, flexible spending, employer?matched HSA contributions, 401(k) matching contributions.
Vacation: paid time off, paid holidays, and a personal holiday.
Learning and development: 812 week new hire onboarding program and ongoing training opportunities.
Volunteer time: one paid day per calendar year for full? and part?time employees.
Equal Opportunity Employer Paradigm believes that fostering a diverse and inclusive workplace is central to our mission. Were 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. 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.
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