Clinical Coordinator - LPN or RN

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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.

Watch this short video for a brief introduction to Paradigm.

We are seeking a full-time remote Clinical Coordinator (LPN or RN). The position is responsible to coordinate and manage a range of medical and health care related services to designated clients, communicating with patients, employers, providers, adjusters, etc. to determine appropriate treatment, and to secure a timely return to work status for the injured workers. Previous Workers’ Compensation Case Management experience is desirable.

Hours:
Monday – Friday, 11a-7:30p (ET) and will include call one week every other month.

Responsibilities:

• Provide appropriate follow up with supervisor, co-workers, case managers, and providers regarding updates, reported complaints and concerns.
• Collaborate effectively with all departments through interdepartmental referrals and communication.
• Provide excellent customer service to internal and external customers
• Plan and complete job duties, organizing individual caseload to meet jurisdictional and Best Practice Standards for timeliness, notification, and documentation requirements.
• Independently research, review, analyze and prepare medical information, document pertinent information in the case file notes, apply evidence based established guidelines to support case management interventions and facilitate the case management process, collaborating objectively with case managers, adjusters, and internal departments for case resolution
• Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI), employee, and operations data.
• Precept new staff within the department as requested. Assist with on-call duties on assigned weeknights or weekends.

• Current RN or LPN state licensure in good standing with the State Board of Nursing.
• Work Comp Case Management experience with at least three (3) years hospital/clinical experience in Orthopedics, Neurology, Occupational Health, Med/Surg or other comparable clinical discipline.
• Knowledgeable of injured worker’s rights and ability to ensure an atmosphere which to promote the privacy, dignity, and well-being of injured workers.
• Excellent verbal and written communication, cooperation, service excellence, and effective conflict resolution skills.
• Address concerns with tact and provide appropriate follow up; proficient reading, writing, grammar, and mathematics skills; strong knowledge of medical terminology;
  Excellent organizational, prioritization, and multi-tasking skills;
  Excellent computer skills (e.g., Outlook, Teams, to be trained on proprietary software).
• Comply with all regulatory requirements, current…