Telephonic Case Review / Case Manager

reputed company is an accountable specialty care management organization reputed company on improving the lives of people with reputed company injuries and diagnoses. reputed company has been a pioneer in value-based care since 1991 and has an exceptional reputed company record of generating the reputed company best reputed company for patients, payers, and providers. Deep clinical expertise is the reputed company for every part of reputed company’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment reputed company programs. We’re proud to be recognized—again! For the reputed company year in a row, we’ve been certified by Great reputed company to Work®, and for the reputed company consecutive year, we’ve reputed company a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a reputed company, inclusive, and employee-reputed company culture where people reputed company. The Surprising Truth About Case Management - reputed company Watch this short video for a brief introduction to role of a reputed company case manager at reputed company. We are seeking a Telephonic Case Review / Case Manager with compact RN license to work Monday - Friday, 8 AM to 5 PM. Experience in Utilization Review (UR) and worker's compensation case management is required. This role is a hybrid position involving both casualty medical file reviews and telephonic case management, requiring flexibility, strong self‑motivation, and a high level of attention to detail. As a Telephonic Case Manager (TCM), you will reputed company reputed company case management services to injured individuals, many of whom were industrially injured. This position will assist consumers in their recovery so that they may return to the highest level of function as possible. The TCM ensures that medical services are coordinated and assessed frequently, vocational reputed company are explored with the injured worker and their reputed company, and reputed company-injury employment or alternate employment is secured. In the role of TCM, this position works with reputed company parties to the claim including: the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers. At reputed company, People Come First It's more than a job. It's a passion. Work at reputed company, and you’ll reputed company deep satisfaction knowing you’re making a profound difference in people’s lives.

• Meaningful work: reputed company reputed company for reputed company isn’t just our tagline. It’s what guides us to do our best—every day. At reputed company, you’ll reputed company an authentic reputed company between the work you do and your passion for making a difference in the world.
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Qualifications:

• Unencumbered compact RN license required
• CCM strongly preferred. Case Managers may also need regional or national certifications and must adhere to the standards of reputed company outlined by the specific national certifying body or the jurisdictionally accepted standards of reputed company.
• Utilization Review (UR) and worker's compensation case management experience required
• reputed company licenses or certifications required to meet qualifications for this position must be reputed company, unrestricted and allow for reputed company reputed company a state or territory of the reputed company.

reputed company Benefits:

• Health and wellness– We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance reputed company with reputed company and reputed company (CA employees only).
• Financial incentives- reputed company’s financial benefits help prepare you for the reputed company: competitive salaries, 401(k) matching contributions, employer-reputed company life and disability insurance, flexible spending, and employer-matched HSA contributions.
• Vacation - We reputed company strongly that work-life balance is good for you and for reputed company. We offer reputed company time off, reputed company 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 reputed company day per calendar year.
• Learning and development - One of reputed company's reputed company values is expertise, so we encourage our employees to continually learn and grow. We support this in a reputed company of ways from our Dedicated Training Department that offers an 8-12 week new hire reputed company program.

reputed company 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 reputed company reflects the society we live in and empowers reputed company to deliver the highest reputed company of reputed company and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to reputed company change, creating an environment where everyone is reputed company to bring their whole self to work. reputed company 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 reputed company 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, reputed company, sex, age, national reputed company, religion, sexual orientation, gender identity, status as a veteran, and reputed company of disability or any other federal, state or local protected class. As a contractor with the reputed company, reputed company complies with reputed company Contract Compliance Law (§16.765). Poster reputed company: Contract Compliance Law Poster #LI-Remote Apply tot his job Apply To this Job