Paradigm logo
Paradigm
Sacramento, California · Hybrid

Nurse Case Manager - Sacramento, CA

Registered NurseFull-Time

Listed compensation

$92.8K - $120.3K

The week · per this posting · weekdays assumed

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

Posted 3mo 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.

We are seeking a Field Nurse Case Manager to cover the Sacramento County Area in CA, and surrounding areas. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip per appointment). These appointments would be to doctors’ offices, hospitals, and various other locations.

There may be multiple appointments in 1 day. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals.

The 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 Registered Nurse (RN) license in California
  • Experience in case management of workers comp cases, preferred

Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to 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

Key Responsibilities

The Nurse Case Manager is responsible for the medical case management of work-related injuries, including the assessment, planning, coordination, and evaluation of patient care. They must collaborate with insurance carriers, medical providers, employers, and attorneys to monitor patient progress and report results.

Qualifications

Experience
2+ years of experience

Certifications

CRRN (preferred)

Key Skills

Workers compensationInterpersonal skillsAutonomous workCare coordination

Case Management — Registered Nurse Career Context

Of the 40 active Nurse Case Manager listings this role was benchmarked against, 20% are remote, 57% have no call, 68% require no weekends — this position is remote.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$107k midpoint carries the purchasing power of roughly $96k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Nurse Case Manager jobs are remote?
MeasureThis jobMarket
Work-life score6.5 / 10 · top 25% in nurse case managerranked against 2,789 Nurse Case Manager listingslisting-based score, 0–10
Listed pay$93k–$120kNurse Case Manager median $128k (middle half $108k–$141k)26 comparable listings, Nov 2026
Cost-of-living adjusted pay~$96k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Nurse Case Manager listings in California410 active5,815 nationallylive on WeekdayDoc, Nov 2026
Work settingremotepeers: 20% remote · 57% no call · 68% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia Registered Nurse listings: 10% state a sign-on bonus (median $8k) · 4% offer loan repayment410 active listings, Nov 2026
New Case Management listings759 in the last 30 days349 the 30 days before (+117%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (2,789 Nurse Case Manager listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Case Manager - Sacramento, CA at Paradigm a 6.5 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Nurse Case Manager — ranked against 2,789 active Nurse Case Manager listings on WeekdayDoc. Contributing factors include remote work flexibility.

Top Nurse Case Manager Jobs

30 matches · ranked by pay

Salary Distribution

22 jobs · 18 employers
10
<$115k
6
$115k-150k
3
$150k-185k
3
$185k-220k

Annual compensation range

Benefits & Perks

15 jobs
401k / retirement match
93% this job
Sign-on bonus
27%
CME allowance
13%
Loan repayment
7%

Share of similar jobs offering each benefit

#1

RN, Case Manager, Home Health

Sutter Health · Salida, Colorado

$71.18-$99.65/hr
#2

Roseville Home Health RN Case Manager

Sutter Health · Roseville, California

$71.18-$99.65/hr
#3

RN Case Manager, Home Healht

$73.11-$98.24/hr
#4

Hospice Nurse Case Manager

$65.7-$75.7/hr
+ 28 more · ranked by pay

Work-life snapshot

median 3.9this job 6.5
Better work-life than 80% of Nurse Case Manager listings

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • Hybrid
  • Remote
Paradigm logo

About Paradigm

Real Estate
Arlington, Virginia
51-200 employees

Benefits & Perks

Health and wellness: PPO, HDHP, and HMO health insurance options with Cigna and Kaiser
Financial incentives: competitive salaries, 5% premium bonus, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement, 401(k) matching, employer-paid life and disability insurance, flexible spending, employer-matched HSA contributions
Vacation: paid time off, paid holidays, personal holiday
Volunteer Time: one paid day per calendar year
Learning and development: 8-12 week new hire onboarding program