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.

We are seeking a fully remote, full-time, LPN Post Acute Referral 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, 10a – 6:30p 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).