Vocational Case Manager

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 Vocational Case Manager (VCM) to support the Vocational Recovery Services program which includes Transitional Return to work (TRTW), Job Placement Services, as well as Vocational Assessments. This role works closely with the injured person, the claim’s examiner, employer, attorneys (plaintiff and defense) and medical providers with the objective to assist injured workers/consumers in their recovery process and returning to work at the highest level of function as possible. Services may be rehabilitative or consultative. Position is fully remote.

Responsibilities:

• Accepts cases for referral and management in accordance with Vocational Recovery standards and established caseload.
• Counsel, direct and motivate consumers to reach their highest level of function.
• Establishes relationships and maintains communications with consumers, claims professionals, employers and medical providers. 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 appropriate vocational recovery services are provided. Documents progress towards achievement of case management intervention and evaluate progress on an ongoing basis, modifying the case management plan if indicated.
• May monitor return to work progress to ensure successful return to work outcome.
• May complete Vocational Assessments by gathering and analyzing medical, social, economic, education, employment history, work capabilities, transferable skills, and labor market information.
• May develops knowledge of current job market to identify alternative placements.
• May complete vocational testing, score testing and interpret results.
• May develop Rehabilitation Plan/Case Management Plan specific to client for success in overcoming barriers and re-entry to the workforce.
• May complete Labor market surveys.
• May provide job-seeking skill training and coaching including resume development and interview training.
• May provide job development and job placement services.
• May provide loss of earning | wage loss opinions.
• May provide expert testimony.
• May identify and place clients in transitional work opportunities.
• Provide ongoing support and counseling to the client.
• Maintains required timely communication and updates to all required parties involved with the client providing progress, status, barriers, and action plans.
• Complete forms according to jurisdictional and/or industry requirements and follows.
• Required to prepare organized reports within a specified timeframe, per account guidelines documenting activities, efforts, and progress.
• Document all case activity in files.
• Complete ongoing educational requirements as required by certifying bodies.
• Attend staff meetings and/or team calls.
• Participate in marketing or customer facing events or meetings.

Qualifications:

• Master’s degree in Rehabilitation Counseling preferred or similar.
• Required to have a minimum of one national board certification at time of hire: LRC, CRC, CDMS, or CVE.
• Must meet state jurisdictional eligibility requirements for performing the duties of a vocational case manager.
• Knowledge of Workers’ Compensation preferred.
• Knowledgeable of state and local regulations preferred.
• Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment.
• Knowledge of principles, methods, and procedures for diagnosis, treatment and rehabilitation of physical and mental injury or illness, and for career counseling and guidance
• Ability to interface professionally with claims staff, clients, employers, attorneys, physicians and their representatives, and advisors and coworkers.
• Excellent communication skills, both verbal and written
• Problem solving skills
• Completion of transferable skills analysis and application to current labor market
• Vocational testing instruments, process and analysis
• Labor Market resources
• Occupational Information resources (i.e. O*Net, DOT, GOE, etc.)
• Ability to meet designated deadlines
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel, and Word.
• Strong interpersonal, time management and organizational skills.
• Ability to work both independently and within a team environment.

Paradigm Benefits:

• Health and wellness: We want our people to be and stay healthy, so we offer a wide variety of value-added 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, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), flexible spending, paid life insurance, employer HSA, and 401(k) with company match.
• 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 floating holiday.
• 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.

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.