- The Case Manager (Care Navigator 2) serves as the dedicated point of contact to patients and healthcare professionals when initiating treatment of a company's therapy.
- Responsibilities include navigating through onboarding, insurance verification, financial assistance, and ongoing support as requested by the patient and their healthcare professional.
- Case Managers will also be working with cross-functional team members within company's Patient Support, where appropriate, to ensure continuity of information being shared with the healthcare professional and patients.
- As a Case Manager, you will be assigned a specific territory to work within and become an expert in that regional area to best assist the individuals who call in, submit service request forms (SRFs) or required financial assistance.
- Case Managers will possess critical thinking and communication skills, an aptitude for learning and strive for continual development.
- The Case Manager must have strong communication skills to converse with customers about the patient’s journey and be able to offer next steps in accordance with approved procedures.
- The Case Manager will possess an aptitude for learning, the ability to accept and implement constructive feedback, and a continual development mindset.
- In addition, the Case Manager will reflect a calm and reassuring tone and attitude for our patients, their families, and their caregivers, specifically during difficult or stressful interactions.
Your responsibilities will include, but are not limited to:
- Develop and maintain Subject Matter Expert (SME) level knowledge of the relevant brand and customer workstreams for the specific assigned program.
- Learn and utilize protocols to respond to customer phone, chat, fax, SMS / text, mail, and e-mail inquiries as well as other communication channels in a prompt and courteous manner.
- Professionally and compliantly interact with customers, relevant Company's associates, and other external contacts during inbound and outbound phone calls.
- Manage assigned cases throughout the patient journey; perform proper and timely escalation, tracking, triage and follow-up where required.
- Handle complex interactions and/or cases as it pertains to navigating insurances and financial assistance.
- Adhere to call guides, job aides and work instructions for case processing and case cadence .
- Adhere to Service Level Agreements (SLAs), Key Performance Indicators (KPIs), productivity, and quality metrics.
- Leverage dual monitors and technological solutions to support Case Management activities.
- Accurately and concisely document all interactions to inform cross-functional partners on the relevant status details.
- Promptly and courteously respond to tasks and notifications from PSC counterparts.
- As applicable, raise innovative ideas which will drive improved efficiency and effectiveness of customer service to Supervisors.
- Responsible for identifying and reporting adverse events via the established company's systems as per applicable processes.