Paradigm logo
Paradigm
San Antonio, Texas · Hybrid

Bilingual Field Nurse Case Manager - Austin / San Antonio, TX

Registered Nurse Top 25% in Case Management (RN)Full-Time

Listed compensation

from $89,000

Listing transparency3 of 6 stated

Ask the employer about call expectations, weekend coverage and nights and shift pattern.

Employment & setting
Full-Time · hybrid
Call expectations
Not specified
Weekends
Not specified
Posted 1mo ago

Job Description

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.

The Surprising Truth About Case Management - Paradigm

Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.

Paradigm is looking for a full-time, 0.75 - 1.0 FTE (30-40 hours per week), benefited Bilingual Field Nurse Case Manager to cover the Austin / San Antonio, TX, area. This is a salaried position: base salary range at 0.75 FTE is $69,900 - $74,250. At 1.0 FTE, base salary range is from $89,000 - $95,000 annually.

A Bilingual Field Nurse Case Manager role is a hybrid position. The candidate must be located in the Austin / San Antonio, TX, area due to regular local travel (80% of the time) for in-person patient appointments. You must be willing to travel and have a compact RN license in the state of TX.

The field nurse case manager is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The field nurse case manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.

At Paradigm, People Come First

It's more than a job. It's a passion. Work at Paradigm, and you’ll find deep satisfaction knowing you’re making a profound difference in people’s lives.

Meaningful work: better outcomes for all isn’t just our tagline. It’s what guides us to do our best—every day. At Paradigm, you’ll find an authentic connection between the work you do and your passion for making a difference in the world.

Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives.

Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.

Qualifications

  • Current, unencumbered compact Registered Nurse (RN) license in Texas required
  • Bilingual (Spanish speaking)
  • Experience in case management of workers comp cases strongly preferred

Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred (must obtain within two years of hire date)

Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)

  • Ability to operate autonomously with minimal oversight
  • Skilled at patient education
  • Valid driver’s license and good driving history

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, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), 401(k) matching contributions, employer-paid life and disability insurance, flexible spending, and employer-matched HSA contributions.

Vacation - We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays, and a personal holiday.

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 from our Dedicated Training Department that offers an 8-12 week new hire onboarding 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

#LI-Hybrid

Key Responsibilities

Responsible for the medical case management of work-related injuries, including assessment, planning, and evaluation of disabled individuals. Coordinates care between insurance carriers, medical providers, attorneys, and employers to monitor patient progress.

Qualifications

Experience
2+ years of experience

Certifications

CRRN (preferred)

Key Skills

Spanish FluencyMedical AssessmentCare CoordinationTechnology ProficiencyWritten CommunicationVerbal CommunicationInterpersonal SkillsAutonomous Operation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Bilingual Field Nurse Case Manager - Austin / San Antonio, TX at Paradigm a 6.5 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Case Management (RN) — ranked against 1,304 active Case Management (RN) listings on WeekdayDoc. Contributing factors include remote work flexibility.

Case Management — Registered Nurse Career Context

Of the 40 active Nurse Case Manager listings this role was benchmarked against, 28% are remote, 43% have no call, 75% require no weekends — this position is remote.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$82k midpoint carries the purchasing power of roughly $85k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$82k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

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401k / retirement match
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Sign-on bonus
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CME allowance
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Work-life snapshot

6.5/ 10
Listing-based score

Top 25% in Case Management (RN)

  • Hybrid
  • Remote
Paradigm logo

About Paradigm

Real Estate
Arlington, Virginia
51-200 employees

Benefits & Perks

PPO, HDHP, and HMO health insurance options
5% premium bonus
Premium pay for catastrophic files
Cell phone and internet reimbursement
Mileage reimbursement (federal rate)
401(k) matching contributions
Employer-paid life and disability insurance
Flexible spending