Case Management Referral Coordinator

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 Fortunes 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 detail‑oriented and customer‑focused Case Management Referral Coordinator to support referral operations within our Workers' Compensation Solutions business unit in a fast‑paced, remote environment. In this role, you will manage referral requests from start to finish, ensuring accurate data entry, appropriate assignment, and timely communication with customers. This position demonstrates a customer-first mindset through a commitment to delivering the best possible outcomes for our customers, including injured workers, payors, clients, providers, stakeholders, and internal teams. By fully leveraging Paradigm's solutions, delivering consistently high-quality service, and collaborating effectively with internal and external partners, we create an exceptional customer experience. The ideal candidate is highly organized, self‑motivated, and comfortable working independently while collaborating closely with a virtual team to ensure referrals are processed efficiently and accurately. Position is remote.

Location: Fully remote | Hourly Range: $20-$21 per hour

Hours: Monday - Friday, working 10a to 7p CST

Responsibilities:

• Managing the referral email inboxes.
• Assigning, entering and fulfilling referrals submitted in the ALARISware System.
• Attending ongoing training/calls as needed.
• Able to decipher geographical locations accurately and make accurate decisions based on such.
• Handling of re-opening cases.
• Processing any payor, insurer, jurisdiction, claim number or case type changes on an open case.
• 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.
• This position may have other duties as assigned by the Referral Coordinator Supervisor or the Referral Operations Manager.

Qualifications:

• Minimum of High School Diploma or equivalent.
• Knowledge of relevant computer applications such as Microsoft products.
• Knowledge of basic business and customer service experience preferred.
• Excellent organizational skills and attention to detail.
• Excellent time management.
• Self-motivated and able to work with little supervision.
• Exceptional computer skills, including Microsoft Office and web-based applications.
• Ability to establish interpersonal relationships in a virtual work environment.
• Ability to collaborate and work as a member of a team.
• Excellent problem-solving ability.
• Clear, concise and professional verbal and written communication.
• The ability to operate a personal computer for extended periods.
• The ability to gather, synthesize and communicate information accurately (verbally and in writing).
• Ability to maintain a home-office environment with high speed internet connection and appropriate work privacy.
• Ability to attend in person and/or phone meetings as directed.

Paradigm Benefits:

• Health and wellness- We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
• Financial incentives - Paradigm's financial benefits help prepare you for the future: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
• Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
• Volunteer time- We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
• 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.

Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.

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.

As a contractor with the State of Wisconsin, Paradigm complies with Wisconsin Contract Compliance Law (§16.765). Poster link: Contract Compliance Law Poster

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