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Patient Navigator

🔥 18 hours ago

🇺🇸 United States – Remote

💵 $30 - $57 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

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Logo of Inizio Engage

Inizio Engage

5001 - 10000 employees

💼 Consulting

📣 Marketing

🏥 Healthcare

Consulting • Marketing • Healthcare

Inizio Engage is a company that partners with clients in healthcare and beyond to drive strategic, commercial, and creative engagement solutions. Leveraging advanced analytics, unique methodologies, and a team of over 5,000 experts worldwide, Inizio Engage focuses on optimizing decision-making, enhancing patient solutions, and promoting healthcare professionals. The company designs experiences that inspire lasting change, enrich cultures, and enhance business performance. They specialize in areas like medical affairs, patient solutions, and omnichannel commercial engagement, aiming to improve health decisions and treatment outcomes globally.

📋 Description

• Coordinate with healthcare providers, specialty pharmacies, and payers to ensure patients gain access to prescribed medication and receive personalized support • Serve as the primary point of contact for patients and caregivers throughout their treatment journey • Support HCP enrollments into patient support programs • Guide patients and caregivers through enrollment, benefits verification, prior authorization, financial assistance, and therapy initiation • Provide education on program offerings, insurance processes, disease state, and treatment using approved materials • Manage assigned patient cases from referral through therapy initiation • Conduct benefits investigations and determine insurance coverage, prior authorization requirements, and patient financial responsibility • Manage prior authorization and appeals processes, including initiating, submitting, tracking, and following up on requests • Identify and address financial, clinical, and adherence barriers to therapy • Support medication adherence and ongoing patient engagement • Coordinate with providers, pharmacies, and internal teams • Document patient interactions and outcomes in compliance with program requirements • Monitor case progress and escalate complex reimbursement issues • Participate in quality initiatives, audits, and continuous improvement efforts • Ensure compliance with regulatory and privacy requirements

🎯 Requirements

• Active, unrestricted RN license required • 3+ years of clinical nursing • 3+ years of experience in dermatology or immunology preferred • 2-5 years of case management and patient support experience • Experience in case management, patient access, HUB services, or specialty pharmacy preferred • Strong understanding of healthcare systems and patient advocacy • Excellent communication and interpersonal skills • Ability to manage a patient caseload independently • Strong organizational and problem-solving skills • Comfortable working in a virtual or call center environment

🏖️ Benefits

• Comprehensive 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 • Continuous growth opportunities through learning, leadership development, and career advancement support • Collaborative culture • Reasonable accommodations in accordance with applicable law

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