Remote Case Manager and Patient Support Navigator

Job Overview

As a Case Manager / Patient Support Navigator, you will be instrumental in delivering essential support to patients and their caregivers. Your primary objective is to serve as a reliable resource for Social Determinants of Health (SDOH), guiding patients and their families throughout their journey towards accessing necessary assistance.

Key Responsibilities

In this pivotal position, you will:

• Act as a patient advocate and educator, providing caregivers and patients with a consistent point of contact for support.
• Manage incoming inquiries from patients, caregivers, and providers, efficiently triaging and directing them to the appropriate teams when necessary.
• Share trustworthy information and resources to assist patients in gaining access to essential support.
• Assess patient needs during initial interactions and throughout the navigation process, connecting them with relevant resources and program offerings.
• Conduct introductory calls for newly registered patients, offering support materials and vital resources.
• Maintain compliance with established standards, policies, and procedures.
• Evaluate barriers faced by patients based on SDOH, including socioeconomic factors, and refer them to suitable resources.
• Identify local SDOH resource outlets and facilitate scheduling access to these resources.
• Document incoming data related to patient support programs, ensuring accuracy in record-keeping.
• Perform benefit investigations and obtain prior authorizations with payers.
• Collaborate with colleagues to ensure patients receive timely services.
• Contribute to ongoing departmental initiatives aimed at enhancing patient-centered excellence.
• Complete various tasks and projects as assigned, including client inquiries and reconciliation reports.
  
  

Required Skills

To succeed in this role, you should possess:

• Strong proficiency in Microsoft Office Suite.
• Exceptional communication skills, both verbal and written.
• The ability to multitask effectively while working independently and as part of a team.
• A compassionate and empathetic approach to patient interactions.
• Strong critical thinking and problem-solving capabilities.
  
  

Qualifications

Ideal candidates will have:

• A Bachelor's Degree along with a minimum of 5 years of experience in healthcare practice management or in a patient services setting.
• Previous experience in patient support and access, with a preference for call center experience. Familiarity with patient assistance, reimbursement, oncology, medical coding, and payment processes is highly desired.
  
  

Career Growth Opportunities

This position provides a unique opportunity to significantly impact patients’ lives by facilitating access to healthcare resources. Joining our esteemed organization means becoming part of a mission-driven team dedicated to patient advocacy and care. High performers may also be eligible for remote work opportunities, subject to supervisor approval.

Company Culture And Values

We promote a collaborative, team-oriented environment that values integrity, professionalism, and responsible behavior. Consistent attendance and engagement in proactive communication are vital for success in this role.

Employment Type: Full-Time