Regional Patient Case Manager

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🕒 Maio 22

🔔 Pennsylvania – Remoto

🔔 Pennsylvania – Remote

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

🚫👨‍🎓 Sem graduação necessária

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RareMed Solutions

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2015

⚕️ Seguro de Saúde

💊 Farmacêutico

🧘 Bem-estar

Healthcare Insurance • Pharmaceuticals • Wellness

A RareMed Solutions é uma empresa dedicada a aprimorar o cuidado ao paciente por meio de programas de suporte inovadores, personalizados para indivíduos enfrentando condições complexas, incluindo oncologia especializada e doenças raras. Ao oferecer um conjunto abrangente de soluções de comercialização e acesso ao paciente, a RareMed visa simplificar as jornadas dos pacientes e melhorar os resultados de saúde. Seus serviços personalizados incluem cuidados concierge e soluções diretas de farmácia, garantindo que os pacientes recebam o suporte ideal necessário ao longo de sua jornada de tratamento.

Descrição

• Primary point of contact and case manager for client and customer needs, inquiries and escalations. • Coordinate all patient and relevant HCP-related support and access services across all functions including but not limited to: support on patient journey calls, benefits verification, prior authorization and appeals, triage to specialty pharmacy, and any necessary follow ups. • Maintain clear, concise, and accurate documentation on all accounts according to Standard Operating Procedures. • Conduct initial welcome calls to patients informing them of available services as well as future targeted outreach to provide ongoing support. • Maintain frequent touchpoints through outreach to providers and patients to communicate progress throughout their journey. • Work independently to complete assigned work in accordance with Standard Operating Procedures and defined service levels to complete program enrollment, answer inquiries, and coordinate access to free 14-Day Supply Program. • Apply defined business rules to qualify patients for manufacturer supported programs. • Provide support, education, and status updates to regionally aligned field teams, HCP offices, and patients to ensure efficient referral processing, triaging, and shipment set ups. • Processes PAP requests in a timely fashion and PAP re-approval verification for continued eligibility. • Refer patients to third-party or other foundation programs per program business rules. • Independently and effectively identify adverse events, product complaints, and LTC cases to document and triage as appropriate. • Manage assigned territory using problem solving skills and professional judgement to independently make sound decisions for timely case resolution. • Demonstrate the ability to prioritize and balance the needs of patients, HCP offices and rare disease clients utilizing program business. • Provide concierge-level service to internal and external customers; resolve any customer and client requests in a timely and accurate manner and escalate appropriately. • Collaborate with field teams on account progression and case recovery efforts and provide relevant case status details and updates.

🎯 Requisitos

• High school diploma plus 2+ years recent case management experience • Previous 2+ years in a pharmacy, healthcare setting, and/or insurance background • Advanced knowledge and experience in healthcare setting • Strong interpersonal skills; ability to communicate effectively both orally and in writing with a focus on customer satisfaction • Empathy, drive and commitment to exceptional service • Ability to build productive internal/external working relationships • Ability to independently manage case load, prioritize work, and use time management skills to meet deliverables

🏖️ Benefícios

• Remote Work Flexibility