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.

Join our Vocational Recovery Services team as a Telephonic Vocational Case Manager, delivering Transitional Return-to-Work (TRTW) support to help move workers' compensation claims forward and keep recovery on track.

This role does not provide traditional vocational rehabilitation services. Instead, you'll manage a high-volume caseload telephonically, using structured workflows, documentation standards, and timely outreach to support a single program offering: TRTW. You will manage approximately 8090 active cases at a time, coordinating next steps, tracking key tasks, and communicating with injured workers, employers, and claims partners. You'll also work closely with the Return-to-Work Coordinator to reduce barriers and support safe, timely return-to-work planning.

Because the work is highly task-driven, the best fit is someone who thrives in a phone-based, desk-focused environment, enjoys moving files toward resolution, and stays organized and responsive throughout the workday.

Key Responsibilities

• Manage an active caseload of approximately 8090 TRTW cases telephonically, ensuring timely outreach, follow-up, and task completion.
• Review claim and medical information to interpret restrictions/function and support appropriate transitional return-to-work planning.
• Identify barriers to return to work (e.g., noncompliance, delayed treatment, communication gaps) and coordinate next steps to move files toward resolution.
• Communicate professionally with injured workers, employers, adjusters, and other stakeholders to clarify expectations, timelines, and required actions.
• Work closely with the Return-to-Work Coordinator to align on restrictions, employer options, and next steps to support safe, timely transitional return-to-work planning.
• Document all contacts, decisions, and next steps in the case management system in a clear, defensible, and timely manner.
• Support program workflows by tracking required tasks, meeting turnaround times, and maintaining consistent availability during business hours.

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.
• Experience in telephonic case management, return-to-work coordination, vocational case management, disability management, or workers' compensation claim support.
• Ability to manage high-volume, task-driven work with strong organization, prioritization, and follow-through.
• Excellent phone communication and customer-service skills; able to guide difficult conversations and set clear expectations.
• Strong documentation skills with comfort working in structured systems/workflows and meeting productivity and quality standards.
• Working knowledge of medical restrictions, functional capacity concepts, and the role they play in return-to-work planning.