Registered Nurse- Case Manager

ConnectMed360•Houston, TX

3d•$86,000•Remote

About The Position

ConnectMed360 creates customized patient support programs that connect manufacturers, providers, and patients to simplify the patient journey and deliver specialty medications and coordinated care. The RN Case Manager handles the program’s referral process from start to finish, addresses patient and provider needs, and provides exceptional customer service. The role includes contacting program patients, assessing barriers to successful therapy initiation and completion, and supporting each patient from enrollment throughout treatment to facilitate a timely and successful experience. The RN Case Manager serves as a consistent resource throughout program services and as an educator on clinical treatments and the emotional and financial implications of a new diagnosis or chronic or life-threatening condition. The position provides information about insurance coverage, anticipated out-of-pocket costs, financial assistance resources where applicable, prescribed therapy and treatment courses, expected side effects identified in manufacturer product information, stress management, and proper therapy administration and dosing. The nurse also helps patients navigate barriers, connects them with support for non-program needs, and reports adverse events and product complaints in accordance with applicable procedures and manufacturer practices. This is a full-time remote-work-available role with Monday–Friday schedule options of 7:00 AM–3:30 PM CST, 9:00 AM–5:30 PM CST, or 10:30 AM–7:00 PM CST. Compensation starts at $86,000 and up depending on experience, with bonus opportunities.

Requirements

Registered Nurse license.
2–3 years of nursing experience.
Experience as a Nurse Case Manager through a patient support program.
Nursing experience demonstrating competence in educating and managing patients.

Nice To Haves

BSN or MSN.
2–3 years of oncology nursing experience.
Nursing experience demonstrating competence in educating and managing patients with a cancer diagnosis; strongly preferred.
Call center utilization management, case management, or clinical trial experience preferred.

Responsibilities

Manage the program referral process accurately and in a timely manner from start to finish, while serving patient and doctor needs.
Maintain contact with program patients and assess barriers to successful therapy initiation and completion.
Serve as a consistent resource throughout program services, identifying therapy barriers and helping patients understand and navigate them.
Educate patients about clinical treatments and the emotional and financial implications of a new diagnosis or chronic or life-threatening condition.
Explain how to contact and work with insurance payers to determine coverage benefits, anticipated out-of-pocket therapy costs, and financial assistance resources where applicable.
Provide information about prescribed therapy and treatment, expected side effects according to manufacturer product information, and support for managing diagnosis-related stress.
Educate patients on proper administration and dosing of prescribed therapy.
Encourage patient participation in personal care and triage patients to support for non-program needs, including social or other intervention programs.
Report adverse events and product complaints in accordance with SOP and good manufacturer practices.
Conduct job responsibilities in accordance with the Company’s Code of Business Conduct and Ethics, policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Perform other duties as assigned by management.