Patient Navigator

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with healthcare providers, specialty pharmacies, and payers to facilitate patient access to prescribed medications and deliver tailored support.

• Act as the main point of contact for patients and caregivers during their treatment journey.

• Assist healthcare professionals in enrolling patients into support programs.

• Guide patients and caregivers through the processes of enrollment, benefits verification, prior authorization, financial assistance, and therapy commencement.

• Offer education on program offerings, insurance processes, disease states, and treatments using approved materials.

• Manage assigned patient cases from referral to therapy initiation.

• Conduct benefits investigations to ascertain insurance coverage, prior authorization requirements, and patient financial obligations.

• Oversee prior authorization and appeals processes, which includes initiating, submitting, tracking, and following up on requests.

• Identify and mitigate financial, clinical, and adherence challenges related to therapy.

• Promote medication adherence and maintain ongoing patient engagement.

• Coordinate efforts with providers, pharmacies, and internal teams.

• Document patient interactions and outcomes in alignment with program requirements.

• Monitor case progress and escalate complex reimbursement issues as necessary.

• Engage in quality initiatives, audits, and continuous improvement initiatives.

• Ensure adherence to regulatory and privacy standards.

⛳️ Requirements

• An active, unrestricted RN license is required.

• A minimum of 3 years of clinical nursing experience.

• Preferably 3+ years of experience in dermatology or immunology.

• 2-5 years of experience in case management and patient support.

• Background in case management, patient access, HUB services, or specialty pharmacy is preferred.

• Strong understanding of healthcare systems and advocacy for patients.

• Exceptional communication and interpersonal skills.

• Ability to independently manage a patient caseload.

• Strong organizational and problem-solving capabilities.

• Comfortable working in a virtual or call center setting.

🏝️ Benefits

• Comprehensive medical, dental, and vision insurance.

• Accrued paid time off.

• 401(k) plan with company matching.

• Disability and life insurance coverage.

• Paid maternity and paternity leave.

• Company-observed holidays.

• Recognition programs, contests, and awards.

• Continuous opportunities for growth through learning, leadership development, and career advancement support.

• A collaborative work culture.

• Reasonable accommodations provided in accordance with applicable law.