Regional Patient Case Manager

RareMed Solutions

Regional Patient Case Manager responsible for client support and case management in healthcare settings. Serving as primary contact for patient inquiries while coordinating care and access services.

Posted 5/22/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesJuniorMid-LevelWebsite

About the role

Key responsibilities & impact

Primary point of contact and case manager for client and customer needs, inquiries and escalations.
Coordinate all patient and relevant HCP-related support and access services across all functions including but not limited to: support on patient journey calls, benefits verification, prior authorization and appeals, triage to specialty pharmacy, and any necessary follow ups.
Maintain clear, concise, and accurate documentation on all accounts according to Standard Operating Procedures.
Conduct initial welcome calls to patients informing them of available services as well as future targeted outreach to provide ongoing support.
Maintain frequent touchpoints through outreach to providers and patients to communicate progress throughout their journey.
Work independently to complete assigned work in accordance with Standard Operating Procedures and defined service levels to complete program enrollment, answer inquiries, and coordinate access to free 14-Day Supply Program.
Apply defined business rules to qualify patients for manufacturer supported programs.
Provide support, education, and status updates to regionally aligned field teams, HCP offices, and patients to ensure efficient referral processing, triaging, and shipment set ups.
Processes PAP requests in a timely fashion and PAP re-approval verification for continued eligibility.
Refer patients to third-party or other foundation programs per program business rules.
Independently and effectively identify adverse events, product complaints, and LTC cases to document and triage as appropriate.
Manage assigned territory using problem solving skills and professional judgement to independently make sound decisions for timely case resolution.
Demonstrate the ability to prioritize and balance the needs of patients, HCP offices and rare disease clients utilizing program business.
Provide concierge-level service to internal and external customers; resolve any customer and client requests in a timely and accurate manner and escalate appropriately.
Collaborate with field teams on account progression and case recovery efforts and provide relevant case status details and updates.

Requirements

What you’ll need

High school diploma plus 2+ years recent case management experience
Previous 2+ years in a pharmacy, healthcare setting, and/or insurance background
Advanced knowledge and experience in healthcare setting
Strong interpersonal skills; ability to communicate effectively both orally and in writing with a focus on customer satisfaction
Empathy, drive and commitment to exceptional service
Ability to build productive internal/external working relationships
Ability to independently manage case load, prioritize work, and use time management skills to meet deliverables

Benefits

Comp & perks

Remote Work Flexibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementbenefits verificationprior authorizationdocumentationprogram enrollmentPAP processingadverse event identificationtriagingcustomer service

Soft Skills

interpersonal skillscommunicationempathyproblem solvingtime managementprioritizationindependent workcustomer satisfactionrelationship building