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Paradigm is a crypto-focused investment firm based in San Francisco.
Telephonic Case Review / Case Manager
Location
United States
Posted
61 days ago
Salary
$84K - $90K / year
Seniority
Lead
Job Description
Telephonic Case Review / Case Manager
Paradigm
Role Description We are seeking a Telephonic Case Review / Case Manager with compact RN license to work Monday - Friday, 8 AM to 5 PM. - Experience in Utilization Review (UR) and worker's compensation case management is required. - This role is a hybrid position involving both casualty medical file reviews and telephonic case management. - Requires flexibility, strong self‑motivation, and a high level of attention to detail. - Provide remote medical case management services to injured individuals, many of whom were industrially injured. - Assist consumers in their recovery to return to the highest level of function possible. - Ensure medical services are coordinated and assessed frequently. - Explore vocational options with the injured worker and their employers. - Secure pre-injury employment or alternate employment. - Work with all parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense), and medical providers. Qualifications - Unencumbered compact RN license required. - CCM strongly preferred. - Case Managers may need regional or national certifications and must adhere to the standards of practice outlined by the specific national certifying body or the jurisdictionally accepted standards of practice. - Utilization Review (UR) and worker's compensation case management experience required. - Professional licenses or certifications must be current, unrestricted and allow for practice within a state or territory of the United States. Benefits - Health and wellness: PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only). - Financial incentives: competitive salaries, 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 community engagement. - Learning and development: support for continual learning and growth through a Dedicated Training Department offering an 8-12 week new hire onboarding program. Company Description 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. - Recognized as a Great Place to Work® for the fourth year in a row. - Earned a spot on Fortune's Best Workplaces in Health Care™ list for the third consecutive year. - Committed to fostering a positive, inclusive, and employee-centric culture.
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