Field Case Manager

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🔥 17 hours ago

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Recruiting.com

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

☁️ SaaS

🤝 B2B

💰 Private Equity Round on 2006-06

Recruitment • SaaS • B2B

Recruiting. com is a recruitment platform that collects personal and non-personal information from job seekers to be used by recruiters and hiring managers. Users can submit their resumes or fill out a short form to be considered for current and future job opportunities. The site emphasizes user privacy and allows users to manage their personal data, including modifying, changing, and deleting their information. Recruiting. com securely stores user data until they request deletion, providing a comprehensive recruitment solution for both job seekers and employers.

📋 Description

• Reviews patient files, treatment history, provider inputs, and supporting documentation to confirm readiness for case action and next-step processing • Executes established clinical and operational procedures to support patient enrollment, therapy coordination, case progression, and access to prescribed treatment • Audits case activity, follow-up actions, and documentation quality to identify discrepancies, delays, and process gaps affecting service delivery • Evaluates therapy access barriers, coverage issues, and coordination risks to determine timely escalation and resolution needs • Interprets program protocols, product guidance, and operational requirements to provide clear direction to patients, providers, and internal teams • Stabilizes the patient journey by coordinating with healthcare providers, pharmacies, clinics, and support teams to reduce disruption in therapy access or administration • Upholds adverse event reporting, documentation controls, and communication standards in line with clinical, quality, and regulatory expectations

🎯 Requirements

• Bachelor's degree in business administration, pharmacy, or related field, or equivalent experience • 6+ years of experience in healthcare, pharmacy, managed care, health systems, operations, or a related field • Project Management Professional (PMP) or equivalent certification preferred • Certification in Lean Six Sigma preferred • Knowledge in clinical operations, care coordination, and case management processes • Knowledge in patient support program workflows and therapy access pathways • Knowledge in clinical documentation, record maintenance, and audit requirements • Knowledge in treatment protocols, therapy administration support, and patient education practices • Knowledge in reimbursement navigation, coverage processes, and funding support activities • Knowledge in adverse event reporting, quality controls, and compliance standards • Ability to interpret clinical, operational, and reimbursement-related information accurately • Ability to evaluate case status, service risks, and barriers to therapy access • Ability to validate documentation and maintain accurate case records • Ability to coordinate across patients, providers, pharmacies, clinics, and internal teams • Ability to communicate complex care and program information clearly and professionally • Ability to stabilize case progression through timely follow-up, escalation, and issue resolution • Ability to audit case activities and identify gaps in process execution or documentation quality • Ability to uphold confidentiality, quality expectations, and regulatory requirements in daily work

🏖️ Benefits

• Health insurance • Retirement plans • Paid parental leave • Paid caregiver leave • Professional development opportunities • Backup dependent care • Adoption assistance • Infertility coverage