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 fully remote, full-time, LPN Post Acute Care Coordinator. This position is responsible to provide staffing for post-acute injured workers, to identify appropriate healthcare facilities for injured workers and coordinate post-acute care services. Serve as point of contact for providers, adjusters, case managers, and injured workers.
Hours: Monday – Friday, 11a – 8p ET
Responsibilities:
- Process referrals for injured workers for the Post-Acute Care Department including obtaining all clinical information needed from hospitals, physicians, case managers, etc.
- Provide staffing for Post-Acute Care referrals.
- Ensure appropriate communication is delivered on a consistent basis with clients regarding progress of their injured workers.
- Accurately addresses questions and inquiries from Adjusters, Case Managers, Providers, and Injured Workers in a timely, professional manner.
- Obtain and review orders received.
- Collaborate with client case managers and insurance carriers case managers to assist in placing injured workers in appropriate facilities for care
- Identify and contact providers both in network and out of network
- Follow up with healthcare facilities and providers to monitor progress and regularly obtain medical notes as needed.
- Coordinate discharges with applicable facilities. Facilitate any other services the injured worker may need post discharge.
- Positively support the mission, values, and vision of Paradigm through effective communication with internal and external customers, serve as positive role model, demonstrate excellent customer service, and comply with all applicable regulatory requirements and Quality Assurance initiatives.
- Consistently maintain a high level of ethical and professional standards.
- Provide appropriate follow up with supervisor, co-workers, case managers, and providers regarding updates, reported complaints and concerns.
- Identify any concerns within the department and bring to the attention of the Director of Post-Acute Care.
- Collaborate effectively with all departments through interdepartmental referrals and communication.
- Support and participate in common teamwork to achieve departmental and organizational goals, cooperate, and work together with team as well as other internal and external partners.
- Actively participate in the QA process and departmental improvement efforts
Qualifications:
- Education/Training: Current LPN state license in good standing with the State Board of Nursing.
- Experience: Minimum of one (1) year of nursing experience.
- Knowledgeable of injured worker’s rights and ability to ensure an atmosphere which to promote the privacy, dignity, and well-being of injured workers. Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI), employee, and operations data.
- Skills: Excellent verbal and written communication, cooperation, service excellence, and effective conflict resolution skills; Able to promptly address concerns with tact and provide appropriate follow up; Service Excellence; 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).
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, 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.
