Regional Patient Case Manager

Job not on LinkedIn

🕒 May 22

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🚫👨‍🎓 No degree required

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RareMed Solutions

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧘 Wellness

Healthcare Insurance • Pharmaceuticals • Wellness

RareMed Solutions is a company dedicated to enhancing patient care through innovative support programs tailored for individuals facing complex conditions, including specialty oncology and orphan diseases. By providing a comprehensive array of commercialization and patient access solutions, RareMed aims to streamline patient journeys and improve health outcomes. Their bespoke services extend to concierge care and direct pharmacy solutions, ensuring that patients receive the optimal support needed throughout their treatment journey.

📋 Description

• 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.

🎯 Requirements

• 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

🏖️ Benefits

• Remote Work Flexibility