QRC Nurse Case Manager - Minneapolis / St. Paul, MN

Nurse 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 recognizedagain! 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.

We are seeking a full-time Nurse Case Manager to cover the Minneapolis / St. Paul area. This position is responsible for the consultation, development, and implementation of the rehabilitation plan. A Nurse Case Manager works independently using their own discretion to assist injured workers/consumers in their recovery so that they may return to work. The Nurse Case Manager works with all parties to the claim including: the injured person, the claim's examiner, employer, attorneys (plaintiff and defense) and medical providers.

Why Paradigm?

• Enjoy a robust support system - spend more time with injured workers and less time on administrative tasks.
• Utilize custom software for a seamless and straightforward case management process.
• Enjoy an award-winning culture with the stability and opportunity of a national company. Paradigm routinely wins Top Workplace and Best and Brightest Companies awards.
• Autonomy to manage your own schedule.

Responsibilities:

• Accepts cases for referral and management in accordance with Minnesota Rules.
• Counsel, direct and motivate consumers to reach their highest level of function.
• Establishes relationships and maintains communications with consumers, families, providers, Paradigm's carrier clients and employers. Ensures that all communication is culturally sensitive and meets requirements to maintain injured worker confidentiality.
• Completes accurate and timely written reports in accordance with Minnesota rule and documentation standards.
• Ensures that rehabilitation plan is implemented and documents progress towards achievement of the rehabilitation plan.
• Assist sales/marketing team as needed in order to build caseload. Develop solid relationships with customers in order to assure repeat business.

Qualifications:

• Current, unencumbered Registered Nurse (RN) license in MN
• Registered Minnesota Qualified Rehabilitation Consultant (QRC) preferred. Candidates who are not yet registered must complete a Minnesota QRC internship, provided by Paradigm.
• 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.
• Two years of full-time equivalent direct clinical experience to the consumer (required for casework referred from Accounts requiring accredited case management).
• 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.
• Valid driver's license, and good driving history

Competencies:

• Exceptional time management and organization skills are required. A full-time QRC is responsible for approximately 25 files that all require contact and reporting within specific timelines.
• The ability to communicate effectively with a wide range of people on a daily basis utilizing both verbal and written communication.
• Flexibility, versatility, and problem solving this role works at a fast pace.
• Technology proficiency QRC's at Paradigm CCS use an advanced Case Management software solution to do their work. A laptop and cell phone are used daily.
• The desire to help others and yourself succeed.
• Self-motivated and ability to work independently.
• Proven decision-making and critical thinking skills, requiring little supervision.
• Problem solving and conflict resolution/negotiation skills.

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, 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 - 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