Nurse Case Manager - Fredericksburg, VA

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 the Fredericksburg area and surrounding communities including Alexandria, Dumfries, Chantilly, and Ashburn.

• Medical case management of work‑related injuries, including assessment, planning, coordination, implementation, and evaluation of injured or disabled individuals.
• Collaborate with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitor the progress of injured workers.
• Travel up to 2 hours one‑way (4 hours round‑trip) to doctors’ offices, hospitals, and other locations.
• Provide timely reports to employers and insurance carriers.
• Take on catastrophic cases as needed.
• Operate autonomously with minimal oversight.

• 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’ compensation cases, preferred.
• Recommended certifications (CCM, CRRN, CDMS, CRC) – required within two years of hire.
• Organization and timeline‑adherence skills.
• Proficiency with PC and technology.
• Excellent written, verbal, and interpersonal communication skills.
• Valid driver’s license with a good driving history.

• Health insurance (PPO, HDHP, HMO options with Cigna and Kaiser – CA employees only).
• Competitive salary, 5% premium bonus over productivity requirements, premium pay for catastrophic files.
• Cell phone and internet reimbursement, mileage reimbursement at federal rate.
• 401(k) matching contributions, employer‑paid life and disability insurance, flexible spending, and employer‑matched HSA contributions.
• Paid time off, paid holidays, personal holiday, volunteer time (one paid day per year for full and part‑time employees).
• Learning and development support through the Dedicated Training Department and a new‑hire onboarding program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission. We’re striving to build a culture that better reflects society and empowers our team to deliver the highest levels of compassion and care. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone can 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, or to receive other benefits and privileges of employment, please contact Leave Management at leav

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.