Patient Care Case Manager

Duration: 4 months contract

Hybrid- Remote w/ a couple of days in the office

Job description:

• Works in a highly visible, strong team environment to provide exceptional Customer Service on all levels.
• Specifically, listen to and counsel patients and medical professionals, interpreting their specific needs and providing friendly, professional and well-informed answers to their questions.
• PSM’s will work with patients, physician offices, partners and insurance companies to case manage all steps required to gain access to therapy.
• Maintain relationship with patients and physicians to ensure ongoing compliance with therapy.
• Works closely with patient/family to case manage all steps required to gain access to therapy
• Acts as the liaison with medical offices
• Work with Specialty Pharmacy and insurance companies to obtain reimbursement information
• Perform benefit investigations with insurance companies as required
• Counsel patient/family on reimbursement options
• Manage patient transition to Client products.
• Work with nurses to provide injection/infusion training to patients
• Responsible for maintaining case history for all assigned patients in the CRM system
• Trouble shoot and resolve ongoing reimbursement issues (step edits, insurance changes, PA’s, etc)
• Ability to multi-task, problem solve and work independently
• Liaison with patients and families
• Liaison with physicians and sites of care
• Work with specialty pharmacy partners, insurance companies and nursing agencies
• Work with Regional Business Managers, Patient Access Manager and Managed Care/Government Accounts team
• Individual must possess and portray strong emotional resilience
• Individual must possess extraordinary positive attitude, exceptional listening skills, and strong verbal and written communication skills
• Ability to handle sensitive information
• Ability to problem solve complex reimbursement scenarios and recommend solutions
• Ability to maintain composure and remain professional during difficult patient or medical calls

Education:

• BA/BS in the life sciences or communications preferred.
• 3 years of prior case management experience preferred.