Case Manager

🕒 il y a 1 jour

🇺🇸 États-Unis – Télétravail

💵 $17 - $32 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Inizio Engage

Site WebLinkedInTous les Emplois

5001 - 10000 employés

💼 Conseil

📣 Marketing

🏥 Santé

Consulting • Marketing • Healthcare

Description non fournie.

Description

• Manage assigned patient cases from referral through therapy initiation • Conduct benefits investigations to determine coverage, prior authorization requirements, and patient financial responsibility • Manage prior authorization and appeals processes, including initiating, submitting, tracking, and following up on requests • Facilitate patient enrollment in copay and patient assistance programs • Support communications with patients, healthcare providers, payers, and specialty pharmacies • Provide education on insurance coverage, access pathways, and treatment journey next steps • Collaborate with internal teams and external partners to ensure timely therapy initiation and adherence to service level agreements • Document case activity accurately within HUB systems in compliance with SOPs and regulatory requirements • Monitor case progress and escalate complex reimbursement issues • Respond to incoming calls from patients, caregivers, and prescriber offices • Track and resolve escalations with leadership support • Support quality initiatives, audits, and continuous process improvement • Ensure compliance with HIPAA, privacy, and regulatory standards

🎯 Exigences

• Bachelor’s Degree or equivalent experience preferred • Experience in patient access, HUB services, reimbursement support, specialty pharmacy, or healthcare case management preferred • Working knowledge of benefits investigation, prior authorization, appeals, and patient assistance programs • Strong communication and interpersonal skills with a patient-focused approach • Ability to manage a high volume of cases in a fast-paced environment while meeting service level expectations • Proficiency with CRM systems and Microsoft Office applications • Strong organizational, analytical, and problem-solving skills • Ability to prioritize workload and manage multiple tasks effectively • Compliance with HIPAA, privacy, and regulatory standards

🏖️ Avantages

• Competitive pay • Medical, dental, and vision coverage • Accrued paid time off • 401(k) with company match • Disability and life insurance • Paid maternity and paternity leave • Company-paid holidays • Recognition programs, contests, and awards • Learning, leadership development, and career advancement support