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Nurse Case Manager Missoula

Company: Paradigm
Location: Missoula
Posted on: June 16, 2022

Job Description:

Location: Missoula, MT, USAReq Number: #111Paradigm is an accountable care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. We have been a pioneer in value-based care since 1991, offering deep clinical expertise, high-value specialty networks, behavioral health support, payment integrity solutions, and robust data analytics to generate the very best outcomes for patients, payers, and providers.Paradigm is headquartered in Walnut Creek, California, with offices across the U.S. For more information, please visit www.paradigmcorp.com. SUMMARY: The Case Manager is responsible for the medical case management of work related injuries, which includes assessment, planning, coordination, implementation and evaluation of injured/disabled individuals. A Case Manager works independently using his/her own discretion to assist injured workers/consumers in their recovery so that they may return to the highest level of function as possible. The Case Manager works with all parties to the claim including: the injured person, the claim's examiner, employer, attorneys (plaintiff and defense) and medical providers. DUTIES AND RESPONSIBILITIES: Accepts cases for referral and management in accordance with Medical Case Management Standards of Practices and established caseload. Counsel, direct and motivate consumers to reach their highest level of function. Establishes relationships and maintains communications with consumers, families, providers, Paradigm's carrier clients and employers. Ensures that all communication is culturally sensitive and meets requirements to maintain injured worker confidentiality. Completes accurate and timely written reports in accordance with Paradigm documentation standards. Ensures that case management plan is implemented and care is coordinated to ensure achievement of case management interventions. Documents progress towards achievement of case management intervention and evaluate progress on an ongoing basis, modifying the case management plan if indicated. Assist sales/marketing team as needed in order to build caseload. Develop solid relationships with customers in order to assure repeat business. Qualifications A minimum of a 4-year Bachelor of Arts/Science in a health-related field that meets national certification criteria and allows the professional to conduct an assessment independently as permitted within the scope of practice of the discipline; or Current, unrestricted registration as a licensed nurse (RN); or A Master's level (MA) in Vocational Rehabilitation or related fields; or A Master's degree in Occupational Therapy ; and Case Managers may also need regional or national certifications and must adhere to the standards of practice outlined by the specific national certifying body or the jurisdictionally accepted standards of practice. Two years of full-time equivalent direct clinical experience to the consumer (required for casework referred from Accounts requiring accredited case management). Professional licenses or certifications required to meet qualifications for this position must be current, unrestricted and allow for practice within a state or territory of the United States. COMPETENCIES Exceptional time management and organization skills are required. A full-time Case Manager is responsible for approximately 25 files that all require contact and reporting within specific timelines. The ability to communicate effectively with a wide range of people on a daily basis utilizing both verbal and written communication. Flexibility, versatility, and problem solving - this role works at a fast pace. Technology proficiency - Case Managers at Paradigm CCS use an advanced Case Management software solution to do their work. A laptop and cell phone are used daily. Strong clinical skills - Case Managers do not provide direct patient care but they rely on their strong clinical skills to exercise discretion and make an independent judgement of treatment and progress in order to make an impact on their injured workers. The desire to help others and yourself succeed. Self-motivated and ability to work independently. Proven decision-making and critical thinking skills, requiring little supervision. Problem solving and conflict resolution/negotiation skills. PM19Paradigm 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.PI182106127

Keywords: Paradigm, Missoula , Nurse Case Manager Missoula, Executive , Missoula, Montana

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