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Revolution Medicines

Revolution Medicines (RevMed) is committed to revolutionizing treatment for patients with RAS-addicted cancers, specializing in oncology drug discovery and development. With the mi

Regional Nurse Case Manager

Location

United States

Posted

103 days ago

Salary

0

Seniority

Lead

Job Description

Regional Nurse Case Manager

Revolution Medicines

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Nurse Case Manager (RNCM) role sits at the intersection of patient advocacy, insurance policy, and product access – making this a critical role in supporting patients who have been prescribed a Revolution Medicines’ therapy. The RNCM Team will operate in a hybrid model in close partnership with a third-party HUB responsible for intake, benefits investigation, and Customer Relationship Management (CRM) operations. - Work directly with patients, healthcare providers, insurers, field reimbursement team, and other key stakeholders. - Help patients understand their coverage and access the company’s patient support programs. - Connect with external resources that help overcome access barriers. - Manage the launch and ongoing lifecycle of Revolution Medicines’ approved therapies using a patient-centric model. - Act as a single point of contact to proactively manage individual patient cases. - Ensure access and financial barriers are compliantly overcome, including: - Benefit verifications - Prior Authorization (PA) delays - Denials and appeals hurdles - Specialty pharmacy (SP) and non-commercial pharmacy routing issues - Affordability barriers - Complex Center for Medicare and Medicaid cases (CMS) - Community resources - Execute smooth transition of all Expanded Access Programs (EAP) patients with urgency upon FDA approval. - Manage standardized escalation frameworks with the Field Reimbursement Team (FRDs), specialty pharmacies, non-commercial pharmacy, and insurance providers. - Ensure timely contact with patients and providers during each step from enrollment to closure of case. - Monitor all patient cases for delays or bottlenecks, ensuring immediate contact with appropriate stakeholders. - Maintain rigorous documentation standards to ensure access barriers are tracked and compliantly resolved. - Foster a culture grounded in patient advocacy, compassion, compliance, customer centricity, urgency, and collaboration. - Create and manage a “one-team” mindset with other critical access teams. - Travel as needed to home office and external meetings/conferences. - Other duties as assigned. Qualifications - Bachelor’s Registered Nurse degree required with current state license. - 7 to 9+ years of experience in oncology, Patient Access, market access, or pharmaceutical patient service programs. - Proven experience supporting specialty or oral oncology launches (start-up or high-growth environments strongly preferred). - Deep understanding of payer dynamics, specialty pharmacy and distribution models, reimbursement processes, and patient support program operations. - Exceptional skills in communication, compliant documentation, and cross-functional collaboration. - Extensive knowledge of HIPAA regulations and Adverse Event (AE) reporting. Requirements - Advance degree (MSN, MBA, MHA, other) preferred. - Launch and customer-facing experience preferred. - Experience with targeted oncology product experience strongly preferred. - Experience in a smaller, rapidly growing company preferred. Benefits - Base pay salary range: $150,000 — $189,000 USD. - Competitive cash compensation. - Robust equity awards. - Strong benefits. - Significant learning and development opportunities.

Job Requirements

  • Bachelor’s Registered Nurse degree required with current state license.
  • 7 to 9+ years of experience in oncology, Patient Access, market access, or pharmaceutical patient service programs.
  • Proven experience supporting specialty or oral oncology launches (start-up or high-growth environments strongly preferred).
  • Deep understanding of payer dynamics, specialty pharmacy and distribution models, reimbursement processes, and patient support program operations.
  • Exceptional skills in communication, compliant documentation, and cross-functional collaboration.
  • Extensive knowledge of HIPAA regulations and Adverse Event (AE) reporting.
  • Advance degree (MSN, MBA, MHA, other) preferred.
  • Launch and customer-facing experience preferred.
  • Experience with targeted oncology product experience strongly preferred.
  • Experience in a smaller, rapidly growing company preferred.

Benefits

  • Base pay salary range: $150,000 — $189,000 USD.
  • Competitive cash compensation.
  • Robust equity awards.
  • Strong benefits.
  • Significant learning and development opportunities.

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