Microsoft 365

Utilization Management Case Manager

Microsoft 365

full-time

Posted on:

Origin:  • 🇺🇸 United States • Tennessee

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Job Level

Mid-LevelSenior

About the role

  • Review chart notes and perform utilization management on patient/drug specific case basis
  • Coordinate facilitation of patients’ specialty drug treatment, ensuring timely delivery to the appropriate site of care
  • Handle case assignments, review case progress, properly document case notes and determine case closure
  • Follow established procedures, processes, and standards for production, productivity, quality, and customer-service
  • Meet performance targets for speed, efficiency, and quality
  • Complete care management clinical escalations and escalate to account management as appropriate
  • Ensure external and internal customers receive required level of customer service and represent Archimedes to external customers
  • Coordinate care between physicians, patients and pharmacies

Requirements

  • Case management experience
  • Utilization management experience
  • Experience with managing specialty medications for patients with chronic illness strongly preferred
  • Strong communication skills to ensure a high-quality patient experience
  • Experience in an infusion setting, physician office or pharmacy
  • Self-motivated and able to thrive in a results-driven environment
  • Ability to prioritize among competing tasks
  • Ability to work independently with limited supervision
  • Critical thinking and problem-solving skills
  • Excellent time and project management skills
  • Keen attention to detail and adherence to deadlines
  • Minimum Requirement: Associate’s Degree (Bachelor’s Degree or nursing background is a plus)
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