[Hiring] Clinical Coordinator Associate @Paradigm

Role Description

The Clinical Coordinator Associate serves as a primary point of contact for Paradigm RISK files, partnering closely with Network Managers to ensure the timely, accurate delivery of home health services and medical supplies. In this role, you will:

• Investigate and resolve complex issues across multiple systems
• Collaborate with internal teams including Home Health, DME, Billing, and Finance
• Ensure thorough documentation and regulatory compliance
• Provide exceptional service to injured workers, carriers, and internal stakeholders

This is a full-time, fully remote position, offering the opportunity to work from home while supporting high-acuity, service-driven healthcare operations. The schedule for this role is Monday through Friday, 9:30 a.m. to 6 p.m. EST, with an expectation of reliable and predictable attendance during scheduled hours.

Responsibilities include:

• Support the Mission, Values and Vision of Paradigm, promoting positive public relations and demonstrating service excellence
• Maintain a high level of ethical and professional standards
• Work collaboratively with Network Managers to ensure compliance with file follow-up per established policies and procedures
• Contact vendor agencies to obtain notes and home health compliance
• Order medical supplies and confirm delivery for assigned referrals
• Provide excellent responsiveness and follow-up with injured workers, family members, vendors
• Ensure receipt of authorization with vendor sources
• Build rapport with each Injured Worker and Network Manager
• Plan and complete job duties, organizing individual workload to meet jurisdictional and Best Practice Standards
• Provide appropriate follow-up with supervisors, co-workers, network managers, and providers
• Collaborate effectively with all departments through interdepartmental referrals and communication
• Provide excellent customer service to internal and external customers
• Maintain confidentiality of all data, including injured workers’ Protected Health Information (PHI)
• Precept new staff within the department as requested
• Attend regularly scheduled Team Meetings and 1:1 with your supervisor
• Maintain reliable and predictable attendance during scheduled work hours

Qualifications

• Worker’s Compensation or healthcare experience preferred
• High school diploma or equivalent required; associate degree or higher preferred. MA preferred
• Knowledgeable of injured workers’ rights and ability to ensure an atmosphere which promotes the privacy, dignity, and well-being of injured workers
• Proven ability to independently manage complex, escalated, or high acuity Home Health cases
• Strong knowledge of medical terminology, healthcare documentation, and complex/catastrophic injuries and diagnosis
• Proficiency with healthcare systems, referral platforms, and Microsoft Office applications
• Excellent organizational, prioritization, and multi-tasking skills
• Strong written and verbal communication skills with a customer service focus
• Attention to detail and accuracy
• Problem solving and critical thinking
• Collaboration and teamwork; ability to mentor, train, and serve as a resource for less experienced team members
• Confidentiality and professionalism
• Proficient reading, writing, grammar, and mathematics skills
• Excellent computer skills (e.g., Outlook, Teams, to be trained in proprietary software)
• Comply with all regulatory requirements, current laws and policies which protect workers from harassment and all illegal and discriminatory behavior
• Complete requirements for required training and demonstrate acceptable attendance

Benefits

• Health and wellness: PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only)
• Financial incentives: competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions
• Vacation: paid time off and personal holiday programs for work-life balance
• Volunteer time: one paid day per calendar year for community engagement
• Learning and development: support for continual learning through the Learning Excellence at Paradigm (LEAP) program