Referral Care 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 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’re seeking a detail-oriented Referral Care Coordinator to support injured workers by coordinating specialty network referrals and serving as a key liaison between injured workers, clients, and providers. This is a fully remote position scheduled Monday through Friday, 9:00 a.m. to 6:00 p.m. Eastern Time. The Referral Care Coordinator facilitates timely, high-quality care for injured workers by coordinating Paradigm Specialty Network referrals. This role serves as a key liaison between injured workers, clients, and providers—managing appointment follow-up, obtaining medical documentation, and providing clear status updates to support service level expectations. The ideal candidate delivers excellent customer service, communicates confidently by phone and email, and demonstrates strong attention to detail, sound judgment, and follow-through. Responsibilities: Provide exceptional customer service communicating via phone and email communications with clients, providers, and injured workers. Act as a liaison between our clients, providers, and injured workers. Follow a consistent process for the coordination of care ensuring client service level agreements are met. Work closely with the providers to obtain information related to the injured workers care, i.e., attendance, future appointments, medical notes from visits or operative report from surgery. Reschedule missed appointments. Provide client with timely information, reporting, and status updates. Work closely with interdepartmental operations staff to effectively manage referrals i.e., escalate delays in care or timely medical reporting. Qualifications: Excellent customer service skills. Experience working in a Medical Office setting a plus. Excellent oral and written communication skills and phone presence. Ability to work independently. Acute attention to detail. Proficient in all Microsoft Office and computer application systems 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 [email protected]. 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 #LI-Remote Apply To This Job