Musculoskeletal Care Manager Bilingual - Military veterans preferred

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.

Paradigm is an accountable specialty care management organization that has historically been 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 shifting the paradigm to the management of musculoskeletal injuries. Musculoskeletal injuries are associated with high costs to employers such as absenteeism, lost productivity, and increased health care, disability, and worker’s compensation costs. While Paradigm has been the leader of catastrophic injuries, we’re ready to take the lead on musculoskeletal ones!

We are seeking a Telephonic Musculoskeletal Care Manager to cover most ofthe United States. The Telephonic Case Manager role is a remote, home-based position. This individual is responsible for the medical case management of work-related, musculoskeletal injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals who are both English and Spanish speaking. The Telephonic Musculoskeletal Care 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.

A differentiator to traditional Telephonic Case Management and the Telephonic Musculoskeletal Care Manager at Paradigm is our digital engagement tool the Musculoskeletal Care Team, and the program’s value-based care philosophy. Injured workers are enrolled on our patient engagement tool to facilitate case management and paired with a dedicated care team to include the Telephonic Musculoskeletal Care Manager and Care Coordinator, who is non-clinical. The MSK Care Coordinator supports the Telephonic Musculoskeletal Care Manager in administrative tasks so they can focus on holistically managing the case and getting the injured worker back to their highest level of function. The digital tool enables real-time communication via email and texting, supports engagement with immediate insights into the injured workers’ progress and risk status so the Telephonic Musculoskeletal Care Manager can manage by exception and be proactive in their case management process.

We have been recognized, again! This is Paradigm’s second time in a row being certified as Great Place to Work® reflecting our ongoing commitment to a positive, diverse, and supportive employee-centric culture.

At Paradigm, People Come First
It'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:

• Current, unencumbered Registered Nurse (RN) license in at least the following states: California, Colorado, Florida, Illinois, Iowa, New Jersey, New Mexico, New York, Pennsylvania, and Wisconsin.

• Experience in the case management of workers compensation cases and management of musculoskeletal/orthopedics, preferred.

• Bilingual (Spanish speaking)

• Recommended certifications (CCM, CRRN, CDMS, or CRC), preferred

• Skills required for success: organization and timeline adherence skills, PC, and technology with flexibility in using multiple systems and applications. Strong communication skills (written, verbal, and interpersonal).

• Ability to operate autonomously with minimal oversight

• Skilled at patient education

Paradigm Benefits:

• Health and wellness: We want our people to be and stay healthy, so we offer a wide variety of value-added HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health.

• Financial incentives: Paradigm’s financial benefits also help prepare you for the future: competitive salaries, internet reimbursement, flexible spending, paid life insurance, employer HSA, and 401(k) with company match.

• 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 floating holiday.

• 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 to 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.

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.