Telephonic Nurse Case Manager
Paradigm
Telephonic Case ManagerParadigm 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 - ParadigmWatch this short video for a brief introduction to role of a nurse case manager at Paradigm.We are seeking a full-time, benefitted Telephonic Case Manager with compact RN license and additional CA RN to work Monday – Friday, 8 AM to 5 PM. Bilingual (Spanish speaking) and candidates who have the CCM certification will be given preference.As a Telephonic Case Manager (TCM), you will provide remote medical case management services to injured individuals, many of whom were industrially injured. This position will assist consumers in their recovery so that they may return to the highest level of function as possible. The TCM ensures that medical services are coordinated and assessed frequently, vocational options are explored with the injured worker and their employers, and pre-injury employment or alternate employment is secured. In the role of TCM, this position works with all parties to the claim including: the injured person, the claim's examiner, employer, attorneys (plaintiff and defense) and medical providers.At Paradigm, People Come FirstIt'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." We're here to transform lives.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:Unencumbered compact RN license requiredAdditional California RN license required (at time of application)Bilingual (Spanish speaking) strongly preferredNational certification strongly preferred (CCM, CRRN, CDMS, COHN). This certification must be obtained within 2 years after hire date.Case Managers may also 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. Additional certifications for this position may include: Tennessee Registry, Georgia Rehab Supplier, Maryland WCCM/MCRSP, and/or North Carolina QRP.Professional licenses or certifications required to meet qualifications for this position must be current, unrestricted and allow for practice within a state or territory of the United States.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, 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 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
$78k - $85k
...Fortune Best Workplaces in Financial Services & Insurance RN Telephonic Case Manager PRIMARY PURPOSE OF THE ROLE: While partnering with the... ...of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work...SuggestedFull timeWork experience placementRemote workFlexible hours- ...Sedgwick is seeking an RN Telephonic Case Manager to coordinate care for injured workers, advocate for timely recovery, and support return-to-work through remote coordination with providers, employers, and workers. The role emphasizes clinical assessment, communication...SuggestedRemote workFlexible hours
$63.74k - $95.26k
...self-motivated, energetic and independent registered nurse to fill a Field Nurse Case Manager position in Phoenix AZ. Work from home, and on the... ...FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the...SuggestedMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift- ...Education: Must have an Associate’s or bachelor’s degree in Nursing License: A valid, current, full and unrestricted Professional... ...Outpatient/Inpatient setting. Demonstrated knowledge of the case management, purchased referred care, and utilization review processes....Suggested
$72.5k
...Nurse Case Manager (RN) Location: Phoenix, AZ Job Type: Full-Time, On-Site Schedule: Monday-Friday, 8:00 AM-5:00 PM (occasional Medical Readiness Events and drill weekends required) Starting salary$72.5K/yearly About the Position A-Team Solutions is...SuggestedFull timeWork at officeMonday to FridayWeekend work$54.1k - $155.54k
...Holding, Inc (AHH) is a medical management company that is a division... ...3, AHH is URAC accredited in Case Management, Disease Management... ...of working intensely as a telephonic case manager with patients and... ...' experience as a Registered Nurse with at least 1 year of experience...Hourly payFull timeLocal areaRemote workWork from homeFlexible hours- ...The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The...Flexible hours
$82k - $94k
...Hospice Registered Nurse Case Manager (RNCM) Make a Lasting Difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful moments of care? Hospice...Full timeMonday to Friday- ...healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful... ...determined by employment status Job Summary The RN Case Manager is responsible to facilitate care along a continuum through effective...Work at officeFlexible hours
$60.52k - $129.62k
...a time. Position Summary: This RN Case Manager role is part of Aetna One Advocacy (A1A... ...The RN Case Manager is responsible for telephonically and/or face to face assessing, planning... ...conversation. Required: - A Registered Nurse that must hold an unrestricted license...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeShift workAfternoon shift$50k - $300k
...Nurse Advocate As a Nurse Advocate you are responsible for contact with program patients... ...assistance, where applicable support to help manage the stress involved in their diagnosis... ...center utilization management, or call center case management is a plus. Case management or...Temporary workWork at officeImmediate startRemote workWork from home- The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The...
- A-Team Solutions is hiring a Nurse Case Manager (RN) in Phoenix, AZ to support AZARNG Office of the State Surgeon. The role coordinates medical readiness activities, liaises with Soldiers, military providers, and unit leadership to ensure deployable status. Responsibilities...Work at office
- Description: The Ryan White Case Manager position provides various levels of case management assistance to those living with HIV, many... ...records and referrals, as well as communicating with clients via telephone, email, and in-person. Provide clear, understandable,...Hourly payTemporary workCasual workWork at officeLocal areaAfternoon shift
$50k
...Nurse Advocate Valeris is a fully integrated life sciences commercialization partner that... ...by the patient support to help better manage the stress involved in their diagnosis.... ...Center Utilization Management, Call Center Case Management, a plus. ~ Case management or...Remote jobFull timeTemporary workWork at officeImmediate startWork from homeHome office$50k - $300k
Nurse Advocate As a Nurse Advocate you are responsible for contact with program patients and... ..., where applicable support to help manage the stress involved in their diagnosis triaging... ...utilization management, or call center case management is a plus. Case management or...Remote jobTemporary workWork at officeImmediate startWork from home- ...one mission: For the People. Summary We are seeking a Case Manager to join our team. As a Case Manager you must be highly... ...Daily interaction with existing and potential clients, via telephone and in person Order medical records from providers and communicate...Full timeWork at officeLocal area
- ...Southwest Behavioral & Health Services is seeking a Case Manager, Medication Only to join our Metro Outpatient team! Services are primarily... ...health concern and crisis. Provides face-to-face and telephone crisis intervention. Minimum Requirements ~ Must be at...Full timeTemporary workWork at officeLocal areaWork from home
- ...key role in improving the lives of individuals who need skilled nursing care at home. Position Overview: We are seeking... ...recovery and comfort. Educate patients and their families on managing medical conditions, medications, and home care techniques. Provide...Relief
- ...employees and 40 years of experience. We are looking for a SMI Case Manager to join our Metro Outpatient Clinic! Job Preview at a Glance:... ...health concern and crisis. Provide face‑to‑face and telephone crisis intervention. Complete safe/support plans with members...Full timeTemporary workWork at officeLocal areaWork from home
- ...Join to apply for the Nurse Care Manager role at Upward Health . Upward Health is an in-home, multidisciplinary... ..., and involves both in-person and telephonic outreach, medication reconciliation,... ...and manage multiple patient cases Critical thinking and decision-making skills...Full timeRemote work
- ...ll Make an Impact The RN Care Manager, VBCfocuseson... ...education. In addition, our field nurses develop trusting relationships... ...offices through in-person and telephonic engagement. Develop strong partnerships... ...level of education Certified Case Manager (CCM) Field-based...Local areaRemote work
$54.1k - $129.62k
...family and one community at a time. Bilingual Behavioral Health Case Manager (Licensed) 100% Remote | Anywhere in the U.S. | Monday-Friday... ..., all from the comfort of your home. What You'll Do Provide telephonic case management for Medicare members with behavioral health...Hourly payFull timeTemporary workLocal areaRemote workMonday to FridayAfternoon shift- ...united by one mission: For the People. Summary We are seeking a Case Manager to join our team. As a Case Manager, you must be highly... ...Daily interaction with existing and potential clients, via telephone and in person Order medical records from providers and communicate...Full timeFor contractorsFor subcontractorWork at officeLocal area
- ...program achieves positive results by combining comprehensive case management with proven supervision technology. In addition, BI maintains... ...standard office equipment such as copier, computer, keyboard, telephone and fax machine. Bending, stooping and use of hands and...Contract workPart timeLive inWork at officeLocal area
- Maricopa County Department of Public Health in Maricopa County, AZ seeks a Registered Nurse TB Case Manager to oversee care for patients with active or latent TB, administer medications, and coordinate treatment plans. The role requires two years RN experience, valid AZ...
- ...Job Description Job Description **Phoenix Location** High Needs Case Manager: JFCS is seeking a compassionate professional to work with children receiving behavioral-health services as they progress on the path to a more self-sufficient lifestyle and potential...Trial period
- Medical Case Manager / Licensed Practical Nurse (LPN) — Peoria, IL We are seeking a Medical Case Manager / Licensed Practical Nurse (LPN) to support adults with intellectual and developmental disabilities in community-based residential settings throughout the Peoria, Illinois...Local area
- ...cares-not just about patients, but about each other. Our nurses have the time and support they need to provide high-quality... ...hospice care the way it's meant to be. As a Hospice RN Case Manger, you will manage a caseload of patients receiving hospice care in their homes...Full time
- ...Job Description Job Description We are seeking a Hospice RN Case Manager to join our team! You will be responsible for the assessment,... ...of decline is a must! Responsibilities: Administer nursing care to ill, injured, or disabled patients Diagnose and establish...
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