Regional Patient Case Manager

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🕒 vor 16 Tagen

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

👔 Manager

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RareMed Solutions

WebsiteLinkedInAlle Stellen

501 - 1000 Mitarbeiter

Gegründet 2015

⚕️ Krankenversicherung

💊 Pharmazie

🧘 Wellness

Healthcare Insurance • Pharmaceuticals • Wellness

RareMed Solutions ist ein Unternehmen, das sich der Verbesserung der Patientenversorgung durch innovative Support-Programme widmet, die auf Menschen mit komplexen Erkrankungen wie spezialisierter Onkologie und seltenen Krankheiten zugeschnitten sind. Durch ein umfassendes Angebot an Kommerzialisierungs- und Patientenzugangslösungen zielt RareMed darauf ab, Patientenwege zu optimieren und Gesundheitsresultate zu verbessern. Ihre maßgeschneiderten Dienstleistungen umfassen auch Concierge-Pflege und direkte Apothekendienste, um sicherzustellen, dass Patienten während ihrer Behandlung optimal unterstützt werden.

Beschreibung

• 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.

🎯 Anforderungen

• 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

🏖️ Vorteile

• Remote Work Flexibility