Case Manager, Remote

A company is looking for a Case Manager, East Coast (Remote). Key Responsibilities Assess patients' needs and develop action plans for treatment initiation and continuation Assist in obtaining insurance approval for products and maintain coverage through collaboration with stakeholders Educate patients and healthcare providers on insurance options, treatment processes, and available resources Qualifications Bachelor's Degree required; Health Care/Social Work/Nursing preferred 3+ years of case management experience in healthcare or pharmaceutical/biotech industry Knowledge of benefit verification and prior authorization processes for infused and injectable products Familiarity with private payer, Medicare, and Medicaid reimbursement processes Experience with Customer Relationship Management Systems, such as Salesforce.com

Jun 12, 2025 - 03:20

A company is looking for a Case Manager, East Coast (Remote). Key Responsibilities Assess patients' needs and develop action plans for treatment initiation and continuation Assist in obtaining insurance approval for products and maintain coverage through collaboration with stakeholders Educate patients and healthcare providers on insurance options, treatment processes, and available resources Qualifications Bachelor's Degree required; Health Care/Social Work/Nursing preferred 3+ years of case management experience in healthcare or pharmaceutical/biotech industry Knowledge of benefit verification and prior authorization processes for infused and injectable products Familiarity with private payer, Medicare, and Medicaid reimbursement processes Experience with Customer Relationship Management Systems, such as Salesforce.com