Manager, Case Management - Minnesota

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 full-time remote Manager of Case Management. This position coaches, supports, and communicates with team members to achieve their best performance. They are responsible for the leadership of case management team members to ensure that their work meets productivity, quality, customer, and compliance requirements. The manager is a people leader who achieves results through developing their team and is a critical component in supporting our culture of being a great place to work.

Responsibilities:

• Coach, support, and communicate with team members to achieve their best performance.


• Oversee the daily operations of case management functions in their area, ensuring that the work meets productivity, quality, customer, and compliance requirements.


• Hiring, training, and onboarding of new Case Manager team members.


• Evaluate workloads for case management staff, proactively manage productivity and insure coverage for incoming referrals.


• Responsible for the knowledge of jurisdictional rules and laws regarding case management services in their assigned areas. This includes but is not limited to ongoing monitoring and training of applicable changes.

Supervisory Responsibilities:

• Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback.


• 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.

Qualifications:

• QRC credentials in MN required


• Minimum of a bachelor's degree in a health-related field and licensure as a health professional; or Certification as a Case Manager; or professional certification in a clinical specialty and at least five years' experience as a case manager; and hold a certification as a case manager.


• Leadership experience,


• 5 years of Case Management experience in the workers compensation industry required

Knowledge and Skills:

• Basic computer skills, including knowledge of current Microsoft operating system, and Microsoft Office products


• Knowledge of proprietary company case management software


• Decision making, clinical reasoning, and critical thinking skills


• Problem solving and conflict resolution


• The ability to prioritize and multi-task


• The ability to work under pressure and meet deadlines


• Proven leadership skills


• Excellent written and verbal communication


• Remain informed with any jurisdictional changes impacting the area, and complete an attestation annually indicating understanding of that responsibility. Regulatory changes will be brought forth to the Compliance Director and the VP-Case Management Operations.


• Ability to synthesize and analyze data and situations


• Ability to function as a member of a team


• Ability to manage the unexpected


• Ability to travel to meet employees, customers, and team members and work flexible hours often outside traditional business hours


• Ability to perform a physical demands in the Light work Category

Paradigm Benefits:

• Health and wellness: We want our people to be and stay healthy so we offer a wide variety of HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health.


• Financial incentives: Paradigm's financial benefits also help prepare you for the future: competitive salaries, flexible spending, commuter accounts, paid life insurance, employer HSA, and 401k contributions.


• Vacation: We believe strongly that work-life balance is good for you and for our company. Our paid time off and floating-holiday programs give you the flexibility you need to live your life to the fullest.


• 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, including our new Learning Excellence at Paradigm (LEAP) 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.

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.

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