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’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.

Paradigm is seeking a Home Health Referral Care Coordinator to support our Home Health Operations team in coordinating referrals, communicating with providers and injured workers, and helping ensure timely access to needed home health and IV therapy services. This role is ideal for someone who is highly organized, detail-oriented, and comfortable managing multiple priorities in a fast-paced, customer-focused environment.

In this fully remote position, you will serve as a key point of contact between providers, referral sources, injured workers, and internal teams while assisting with referral intake, documentation, authorization letters, vendor coordination, and follow-up to support safe and effective care coordination.

This is a full-time, fully remote position working Monday through Friday, 12:00 p.m. – 8:30 p.m. ET.

The hourly range for this position is $21 to $23 per hour.

Responsibilities:

• Provide staffing for home health and IV therapy referrals, assist Intake Department with taking new home health referrals as needed.
• Promote positive public relations with referral sources and identify Network providers to staff and accept home health referrals.
• Ensure accuracy of demographic data, contacting appropriate referral source to obtain orders, medical records, and any needed documentation to staff cases.
• Address inquiries and questions in a timely, professional manner. Provide excellent follow up as appropriate with supervisor, coworkers and/or residents.
• Identify local vendors to provide needed services, negotiate rates when necessary and provide single case agreement with vendor to ensure appropriate pricing and margins.
• Answer phone calls, accurate document management, intake referrals, letters of authorization, and pricing negotiations. Demonstrate appropriate knowledge of Injured Workers' rights, ensure privacy, dignity, and well-being of Injured Workers.
• Follow up with Hospital, Doctors, and insurance carrier’s to obtain appropriate clinical information for safe discharge to home.
• 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.
• Demonstrates a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
• Provide a work environment free from all illegal and discriminatory behavior and harassment, including sexual harassment.
• Assist with on-call duties on assigned weekends with compensation.
• Assist with Marketing Calls as needed.
• Maintain reliable and predictable attendance during scheduled work hours.
• Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies, as trained and applies them in alignment with established processes and guidelines.

Qualifications:

• Education/Training: Some College and/or Medical Background, LPN preferred.
• Experience: Work Comp Insurance, Referrals, and Authorizations experience preferred.
• Skill(s): Proficient reading, writing, grammar, and mathematics skills; knowledge of medical terminology; good interpersonal relations and communicative skills; moderate PC skills with emphasis on accuracy; excellent organizational and prioritization skills with ability to multi-task. Computer Proficient: MS Office, Word, Excel, and PowerPoint.
• Equipment/Machinery Used: Standard office equipment including phones, scanners, fax, laptop/PC, copiers, various computer programs, etc.
• Able to cooperate and work cohesively with all co-workers, management, and external customers. Able to plan and complete job duties with minimal supervisory direction, utilize sound judgment, tact, diplomacy, and compassion in verbal and written communication.
• Able to demonstrate appropriate follow up with supervisor, co-workers or residents regarding reported complaints, problems, and concerns.
• Knowledgeable of injured workers’ rights and ensure an atmosphere which allows for the privacy, dignity, and well-being of each injured worker. Ensure confidentiality of all data, including injured worker’s demographics, employee, and operations data.
• Able to complete requirements for in-service training, maintain acceptable attendance and appropriate dress code.