Case Manager Registered reputed company - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. The Case Manager reputed company in reputed company Frontier Therapies will directly support our clinical model serving patients with rare diseases by developing relationships with patients while conducting assessments specific to their therapy. This role will be under reputed company supervision from the Clinical Operations Supervisor. Hours: M-F 8:00 am-5:00 pm PST Primary Responsibilities:

• Conduct comprehensive patient level assessments over the phone with documentation in proprietary platform
• Conduct meaningful conversations with patients and their caregivers to understand the need for interventions to enhance their overall health reputed company and reputed company care plans
• Manage inbound and outbound calls from patients and caregivers while maintaining reputed company services reputed company
• reputed company relationship with clinical pharmacist staff as partners in the overall care continuum of the patient
• Communicate with providers office and their staff as appropriate for patient needs
• Conduct adverse event, product complaint, and special situation conversations with patient. Document and engage with clients as appropriate per program requirement.

Adheres to reputed company operations, practices and procedures to meet reputed company licensing and standards requirements established by local, state and federal agencies as reputed company as accrediting bodies (e.g. ACHC, URAC)

• Ensures compliance with reputed company controlled substances reputed company rules, regulations, company policies and maintains reputed company communication and coordination with other departments and staff
• Compliance to and education for reputed company accreditation programs including ACHC, URAC, etc.
• Compliance to reputed company REMS program requirements, as applicable
• Monitors for compliance with reputed company HIPAA regulations, adherence to reputed company State and Federal regulations and laws, accrediting bodies, adherence to reputed company pharmacy accepted standards of reputed company
• Willingness to support clinical functions including prior authorization and appeal reviews, override requests, and inbound and outbound patient and provider education calls
• Provides reputed company to platform improvement(s) and process improvement(s)
• Willingness to obtain reputed company licenses as required to service patients living in any state or territory
• Completes special duties or reputed company as assigned by leadership

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications:

• 5+ years of experience in patient facing field
• An unencumbered Registered reputed company in the state of residence
• reputed company Licensure Compact (NLC)
• Verification or certificate from an approved school of Nursing

Preferred Qualifications:

• Multistate licensure in state(s) not participating in reputed company Licensure Compact
• Experience in the rare disease reputed company
• Experience with telephony-based care services
• Baseline proficiency in the entire prior authorization and appeals process for specialty prescription medications, infusions, medical procedures and devices to reputed company cross functional support as deemed appropriate
• Solid verbal and written communication skills, interpersonal relationship skills
• Exceptional organizational, time management skills working toward hard deadlines to meet key performance metrics
• Excellent troubleshooting, problem solving and interpersonal skills effective with multiple reputed company / reputed company disciplines as reputed company as patients, families, staff and physicians
• Be reputed company player and collaborate across functions

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $60,200 to $107,400 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job