Telephonic Vocational Case Manager

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.

Join our Vocational Recovery Services team as a Telephonic Vocational Case Manager , delivering Transitional Return-to-Work (TRTW) support to help move workers' compensation claims forward and keep recovery on track.

This role does not provide traditional vocational rehabilitation services. Instead, you'll manage a high-volume caseload telephonically , using structured workflows, documentation standards, and timely outreach to support a single program offering: TRTW. You will manage approximately 80-90 active cases at a time, coordinating next steps, tracking key tasks, and communicating with injured workers, employers, and claims partners. You'll also work closely with the Return-to-Work Coordinator to reduce barriers and support safe, timely return-to-work planning.

Because the work is highly task-driven , the best fit is someone who thrives in a phone-based, desk-focused environment, enjoys moving files toward resolution, and stays organized and responsive throughout the workday.

Key Responsibilities

• Manage an active caseload of approximately 80-90 TRTW cases telephonically, ensuring timely outreach, follow-up, and task completion.
• Review claim and medical information to interpret restrictions/function and support appropriate transitional return-to-work planning.
• Identify barriers to return to work (e.g., noncompliance, delayed treatment, communication gaps) and coordinate next steps to move files toward resolution.
• Communicate professionally with injured workers, employers, adjusters, and other stakeholders to clarify expectations, timelines, and required actions.
• Work closely with the Return-to-Work Coordinator to align on restrictions, employer options, and next steps to support safe, timely transitional return-to-work planning.
• Document all contacts, decisions, and next steps in the case management system in a clear, defensible, and timely manner.
• Support program workflows by tracking required tasks, meeting turnaround times, and maintaining consistent availability during business hours.

Qualifications

• Master's degree in Rehabilitation Counseling preferred or similar.
• Required to have a minimum of one national board certification at time of hire: LRC, CRC, CDMS, or CVE.
• Experience in telephonic case management, return-to-work coordination, vocational case management, disability management, or workers' compensation claim support.
• Ability to manage high-volume, task-driven work with strong organization, prioritization, and follow-through.
• Excellent phone communication and customer-service skills; able to guide difficult conversations and set clear expectations.
• Strong documentation skills with comfort working in structured systems/workflows and meeting productivity and quality standards.
• Working knowledge of medical restrictions, functional capacity concepts, and the role they play in return-to-work planning.

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, cell phone and internet reimbursement, 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 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). Poster link: Contract Compliance Law Poster

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