Pharmacy Technician - A-Line Staffing Solutions

A-Line is now hiring a Remote - Case Manager. Case Manager in would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Case Manager position, please apply or contact Mia Garrett at Mgarrett@alinestaffing.com or 586-422-1209.

Case Manager Compensation

• The pay for this position is $20/hour

Case Manager Highlights

• Direct Hire opportunity
• Monday – Friday 7:00 am – 7:00 pm

Case Manager Responsibilities

• The Case Manager / Patient Support Navigator is a vital part of the front-line patient and caregiver support. The CM-PSN acts as a Social Determinants of Health (SDOH) resource for patients and family members throughout their patient assistance journey. The CM-PSN provides patient-centered support, acts as liaison between patients, caregivers, medical professionals, internal and external matrix partners.

• Assist patients/caregivers as appropriate to function as a patient advocate, educator, and single point of contact for patients, and caregivers.
• Field incoming phone calls from patients, caregivers, and providers; triage calls and route to the appropriate team for further action if applicable.
• Provide scripted information on how patients can access reliable sources of information through various resources available.
• Assess patient’s needs upon initial welcome call and through navigation, matching the patient’s needs with appropriate resources and support within program offerings.
• Provide newly registered patients with a welcome call including patient support materials and resources.
• Adhere to all appropriate compliance standards outlined in business rules, policies, and SOPs.
• Assess patient barriers based on SDOH which include factors such as, but not limited to, socioeconomic status, education, housing, transportation, food, physical environment, employment, and social support networks, as well as access to health care. Refer patients to aligned resources within program service offerings.
• Identify patients closest SDOH resource outlet and assist in scheduling to obtain available resources.
• Receive incoming data related to patient support programs such as enrollment forms, insurance cards for benefits investigations for review, save related documents within the patient database, triage, and route data to the appropriate department or team member as applicable.
• Conduct benefit investigation and prior authorization with payers.
• Provide updates and partner with all team members to ensure patients are served in a timely manner.
• Participate and support multiple ongoing department projects.
• Ensure patient centered excellence in supporting all internal and external stakeholders involved in the patient journey.
• Other tasks and projects as assigned client inquiries, exceptions, management mailbox, reconciliation reports, and workforce functions.
• All other duties as assigned.

Case Manager Requirements

• One year pharmacy technician experience
• Licensed in Missouri or is Eligible to obtain a MO license
• Education Bachelor’s Degree and 5 years’ experience in healthcare practice management or patient services setting.
• Technology/Equipment Strong computer skills with a working knowledge of Microsoft Word, Excel, and PowerPoint.
• Soft Skills Excellent oral, written, and interpersonal communication skills. Ability to multi-task. Ability to work independently and function as a team player. Ability to work in a fast paced, metric driven environment, while remaining patient minded. Ability to clearly and consistently demonstrate compassion and empathy.

Case Manager Preferred Qualifications

• Patient support and access with call center experience. Patient assistance, reimbursement and/or oncology experience. Medical coding, coverage, policy, and payment experience strongly preferred.

If you think this Case Manager position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

Mia Garrett – Recruiting Assistant

Mgarrett@alinestaffing.com or 586-422-1209