Case Manager (Non-Clinical)

2+ years

Not Disclosed

Remote

10 Dec. 5, 2024

Job Description

Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Case Manager / Patient Support Navigator - EVERSANA

Job Location: California (Must be local)

Compensation:
Min: $41,000 | Max: $61,500

Department: Patient Services
Job Family: Healthcare Operations

Company Description:
At EVERSANA, we are proud to be certified as a Great Place to Work globally. We’re driven by our vision to create a healthier world. With a team of more than 7,000 employees, we’re committed to delivering next-generation commercialization services to the life sciences industry, supporting over 650 clients. Our solutions bring innovative therapies to market and improve the lives of patients who depend on them. Join us to make a real impact!

Job Description:
Position Overview:
The Case Manager / Patient Support Navigator (CM-PSN) plays a crucial role in providing support to patients and caregivers throughout their patient assistance journey, focusing on Social Determinants of Health (SDOH). The CM-PSN serves as a liaison between patients, caregivers, healthcare professionals, and internal and external partners.

Essential Duties and Responsibilities:

Serve as a patient advocate and educator, ensuring seamless communication between patients, caregivers, and healthcare providers.
Field and triage incoming calls from patients and caregivers, routing them to the appropriate team as needed.
Provide information to patients on accessing reliable sources of healthcare information.
Assess patient needs and match them with suitable resources and support available through the program.
Conduct benefit investigations and prior authorizations with payers.
Support ongoing department projects and maintain patient-centered excellence in all interactions.
Dedicated support to Spanish-speaking patients.

Expectations of the Job:

Adherence to company policies and procedures, with a focus on delivering excellent results.
Foster a collaborative, team-oriented environment with clear and transparent communication.
Demonstrate a high level of accountability, ensuring timely delivery of work and client satisfaction.
Ability to multitask and problem-solve in a fast-paced, metric-driven environment.

Qualifications:

Education: Bachelor's degree with 5+ years of experience in healthcare or patient services.
Technology Skills: Proficiency in Microsoft Word, Excel, and PowerPoint.
Soft Skills: Strong communication, multi-tasking, and problem-solving abilities, with a compassionate approach to patient care.

Preferred Qualifications:

Experience in patient support, reimbursement, or oncology.
Knowledge of medical coding and insurance policies.

Cultural Beliefs:

Patient Minded: Act with the patient's best interest in mind.
Client Delight: Own every client experience and its impact on results.
Take Action: Empower yourself and hold yourself accountable.
Embrace Diversity: Respect and create an inclusive environment.
Grow Talent: Invest in personal and professional development.
Win Together: Collaborate passionately to achieve results.
Communication Matters: Maintain transparent and timely communication.
Own It: Be accountable for results.

Compensation & Benefits:
The anticipated base salary range for this position is $41,000 to $61,500, depending on experience, qualifications, and geographic location.

How to Apply:
Visit our careers page: www.eversana.com/jobs/case-manager-patient-support-navigator

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Case Manager (Non-Clinical)

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