RareMed Solutions logo
RareMed Solutions

Rare Solutions, Extraordinary Results.

Regional Patient Case Manager

ManagerManagerFull TimeRemoteMid LevelTeam 501-1,000Since 2015H1B No SponsorCompany SiteLinkedIn

Location

Pennsylvania

Posted

15 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expExperience acceptedEnglish

Job Description

Regional Patient Case Manager

RareMed Solutions

• 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.

Job 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

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