Case Manager, Patient Services
Core
Provide personalized support to patients and caregivers navigating complex rare medical conditions, facilitating access to prescribed therapies and resolving administrative challenges.
Role type
Senior IC case manager (patient services)
Builds
Patient support programs and therapy access pathways for rare disease patients
Domain
Healthcare / Rare diseases / Patient services
Deliverable
client delivery
Required skills
Case management, patient advocacy, healthcare navigation, insurance/payer navigation, CRM data entry, problem-solving, documentation management, rare disease expertise
Preferred skills
Spanish language, pharmacy technician credentials, healthcare office management, Registered Dietitian license
Technologies
Microsoft Office, CRM systems
Responsibilities
Facilitate access to prescribed therapies and provide personalized support throughout the case-management process; Navigate insurance coverage, prescriptions, prior authorizations, appeals, and peer-to-peer reviews; Manage all aspects of assigned patient cases including follow-up, documentation, and resource coordination; Identify and resolve access barriers to support continuity of care; Accurately interpret health documentation and enter case information into CRM systems; Report adverse events and product quality complaints according to established procedures.
Seniority
Mid-level, hands-on IC