Nurse Case Manager - Fredericksburg, VA

Posted Monday, April 20, 2026 at 5:00 AM 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 are seeking a Field Nurse Case Manager to cover Fredericksburg and surrounding communities including but not limited to Alexandria, Dumfries, Chantilly, and Ashburn. Field Case Manager – This position is field/home‑based with travel up to 2 hours one‑way (4 hours round trip) to doctors’ offices, hospitals, and various other locations. The 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. Must be willing to learn and take catastrophic cases. Benefits Health and wellness – We offer 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 – Full and part‑time employees receive one paid day per calendar year. Learning and development – Dedicated Training Department offers an 8‑12 week new hire onboarding program. Qualifications Current, unencumbered Registered Nurse (RN) license in VA Current, unencumbered Registered Nurse (RN) license in DC (required within 30 days of start date) Experience in case management of workers’ comp cases, preferred Must be willing to learn and take catastrophic cases Recommended certifications (CCM, CRRN, CDMS, CRC) preferred. Required within two years of the date of hire 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 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 View email address on click.appcast.io. 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). #J-18808-Ljbffr Paradigm