PRO-spectus

Case Manager - RN, Oncology

US - remote

Sponsorship not specified$40k-$54kDetected 2 days ago

Customer SupportCommunicationProblem SolvingCritical ThinkingTime ManagementAdaptability

About the role

The Case Manager - Oncology is a professional external-facing role, which is responsible for oversight of cases throughout the authorization/approval journey for patients and their providers.
This may involve interacting with private commercial or government-run insurers, healthcare providers, suppliers/distributors, and patients to ensure access across the care continuum.
We celebrate each other's joys in personal life and professional accomplishments, promoting meaningful relationships and friendships.

Support cases through approval/denial process with a sense of urgency while maintaining accuracy.
Manage through ambiguity while designing innovative client and payor solutions.
Provide compassionate and empathetic support to patients and caregivers.
Working hours to support activities in multiple time zones.
With humility and compassion at our core, PRO-spectus is proud of our relentless focus towards the higher purpose of improving the lives of patients we support.

High level of ability to coordinate multiple priorities and activities to accomplish goals.
Ability to leverage professional expertise and apply company policies and procedures to resolve challenges.
Ability to be agile and adaptable in responses to rapidly changing processes and consumer needs.

Experience working in infusion services - office, hospital or home setting preferred.
College Degree (Bachelor's or Associate Degree) preferred.
Experience with maintaining detailed records of client interactions, services provided, and progress made.
OCN certification a plus.

At PRO-spectus, we are deeply committed to pay transparency and equity.
Our benefits include robust medical, dental, and vision plans; life insurance and disability coverage; and tax-advantaged savings accounts.
Interpret complex clinical documentation to prepare authorization documentation for payor submission in relation to medical policy criteria for coverage.
Provide resources to patients, caregivers, health care providers and clients with resources available for financial assistance and transportation.
Beyond competitive pay, we offer a comprehensive and generous benefits package designed to support your well-being and work-life balance.

We recognize it takes a lot of people working together with a common goal to make spectacular happen, and we never forget that at the heart of our company are the people who make it work.
Prioritize and act on key client activities and follow up with customers to ensure problems are solved.
Partner with the interdisciplinary team to champion their clients, patients, and customers, and is responsible for the life cycle of their case to ensure successful completion.

This listing is sourced directly from PRO-spectus's careers page and normalized into a canonical job model.