Job Description

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.
The Surprising Truth About Case Management - Paradigm
Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.

Paradigm is seeking a Manager, Telephonic Case Management to lead and support a team of case managers located across the United States. This role is responsible for coaching, developing, and empowering team members to achieve excellence in productivity, quality, customer service, and compliance. As a people-focused leader, you will drive team performance, foster employee engagement, and promote a positive, high-performing culture while ensuring exceptional service and outcomes for clients and injured workers.
DUTIES AND RESPONSIBILITIES:
• Lead, mentor, and support Case Management staff to drive high performance, professional growth, and adherence to best practices.
• Manage staff performance, provide regular coaching and constructive feedback, and oversee ongoing education and development opportunities.
• Recruit, hire, onboard, and train new Case Management team members.
• Monitor and review case documentation, case activity, and caseload distribution to ensure quality, productivity, and appropriate referral coverage.
• Serve as a subject matter resource for case management processes, providing guidance and support to staff and stakeholders.
• Respond to complaints and stakeholder concerns in a timely and professional manner.
• Communicate organizational updates, process changes, and regulatory requirements affecting Case Management staff.Ensure compliance with applicable jurisdictional laws, regulations, and case management standards, including monitoring and educating staff on regulatory changes.
• Maintain resources and training programs that support staff competency, knowledge, and continuing education.
• Travel periodically for meetings, training, and other business-related activities.
SUPERVISORY RESPONSIBILITIES:
• Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback to achieve their best performance and goal attainment
• Set the tone for a strong Enterprise culture and high employee engagement.
• Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies.
• Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.
REQUIREMENTS:
• Licensure and certification:
◦ Unencumbered compact RN license
◦ CCM
◦ Responsible for maintaining an active license and/or certification and completing all renewals with any state requirements prior to the expiration date(s).
• Experience:
◦ Minimum of 2 years of full-time equivalent direct clinical experience to the consumer (required for casework referred from accounts requiring accredited case management).
◦ Minimum 5 years’ experience as a case manager.
◦ Knowledge of proprietary company case management software preferred.
• Core Competencies:
◦ Must adhere to the standards of practice outlined by the specific license, national certifying body, or the jurisdictionally accepted standards of practice. May be asked to obtain additional licenses, certifications, or state registrations according to the organization’s business needs.
◦ Leadership skills including communication, negotiation, conflict resolution, problem solving, critical thinking, adaptability, time management, decision making
◦ Remain informed of any jurisdictional changes impacting the area and complete an attestation annually indicating understanding of that responsibility. Regulatory changes will be brought forth to the Director of Quality and the VP, Case Management.
◦ Strong written and verbal communication skills.
◦ Ability to manage multiple priorities and meet deadlines in a dynamic environment; adaptability to changing priorities and technologies.
◦ High level of professionalism, discretion, and confidentiality.
◦ Proficiency in Microsoft Office Suite and remote collaboration tools (e.g., Teams, Zoom, Co-Pilot).
◦ Strong problem-solving and decision-making abilities; exercise sound judgment and escalate concerns appropriately
◦ Demonstrated ability to work independently and as part of a team.
◦ Commitment to continuous learning and professional development.
◦ Valid driver’s license, and a safe driving history.

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, 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 leave.management@paradigmcorp.com.
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

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