TrialCard

Nurse Case Manager

Job Locations US-NC-Morrisville
Posted Date 2 months ago(11/11/2021 1:17 PM)
ID
2021-3524
# of Openings
1

Overview

 

At TrialCard, our passion is success - success for clients, success for us. You’ll notice who comes first. We’re committed to providing solutions, through innovation and unparalleled customer support, to the pharmaceutical industry to improve access and affordability of medicine to patients.  We work tirelessly on behalf of our clients, because when they succeed, so do we.

 

That is not to say we are all work and no play. TrialCard is an open workplace with fun, energetic people united for a common purpose. In fact, we don’t even refer to each other as employees. We’re team members. We foster a culture that encourages individual personality.

 

The purpose of the Nurse Case Manager is to facilitate a successful patient journey to therapy by providing care coordination, education, and psychosocial support. The Nurse Case Manager provides education and support to patients, caregivers and health care providers regarding assigned therapeutic areas, maintains an accurate record of patient support, and manages programs and initiatives to help our clients better serve patients.  As a Nurse Case Manager, you will be responsible for handling the day-to-day activities within the patient support program to include coordinating the financial aspects of healthcare services to ensure patients have access to treatments they need and serving as a vital resource to patients and healthcare providers for all facets of their treatment access. 

Responsibilities

  • Critically think through each individual patient’s needs and create a care plan to provide an efficient, expedient, and beneficial treatment journey.
  • Establish relationships, develop trust, and maintain rapport with patients, caregivers, and healthcare providers in a 100% telephonic setting
  • Counsel and educate new/existing patients on the use of products, dosing and administration, use of devices, and drug insurance coverage/reimbursement challenges
  • Evaluate and contribute to development of program resources
  • Coordinate financial options for those with financial need.
  • Follow program guidelines and escalate complex cases according to program policy and procedures.
  • Receive and make calls to patients and/or caregivers regarding assigned disease states, products, and patient needs to include discussions regarding insurance coverage and available financial support options for their particular therapy
  • Accurately maintain, constantly update, and successfully navigate patient account records in a digital CRM (Customer Relationship Management System)
  • Support health care provider offices regarding questions, concerns, or challenges with prescription
  • Document calls to meet requirements of regulatory compliance and program specific procedures
  • Report and document adverse events and product/safety complaints as per program SOPs
  • Participate in program specific customer meetings and training sessions
  • Demonstrate clinical and program competency on written, evaluated tests
  • Serve as an advocate to patients and health care providers regarding insurance coverage, medical billing, reimbursement process, and general access for complex pharmaceuticals.
  • Participate in a shared on-call, after hours nurse service that spans multiple programs
  • May be asked to perform related job duties that are not specifically set-forth in this job description.

Qualifications

  • Diploma, Associate, or bachelor’s degree in Nursing (BSN, RN) with a valid registered nursing license in North Carolina
  • Four or more years of nursing experience; prior telephonic experience a plus
  • Neurology, Oncology, and/or intensive care preferred
  • Knowledge of medical insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related reimbursement experience a plus
  • Ability to communicate clearly and effectively orally and in writing-may be asked to submit a written test sample
  • Proficient with Microsoft products
  • Experience and comfort with a digital CRM required
  • Attention to detail and committed to following through in communication with patients and providers
  • Empathetic listening skills in order to interact effectively with patients and providers
  • Willingness to work in a fast-paced environment and have the ability to multi-task and pivot with ease
  • Strong customer service experience and skills

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