Location: New Haven, CT, US
RN Case Managers provide education, treatment support, and access for patients with ultra-rare diseases. Case Managers ensure patient treatment compliance, communication with both internal and external customers, provide resolutions regarding any interruptions or barriers to care, and aid in the overall coordination in the quest for best in class care.
Build/maintain patient relationship in order to educate, provide ongoing treatment support and assist with gaining access to therapy.
Facilitate the coordination of health care provider and payor resources to ensure access to chronic complement inhibition therapy for patients with PNH and aHUS.
Obtain patient consent and comply with privacy rules
Develop and implement case plans for patients
Anticipate and prevent or identify and resolve (through coordination of efforts and resources) interruptions or barriers to care
Maintain records, complete reports and communicate case status and direction
Organize resources for patient assistance
Establish and maintain partnerships with field staff
Attend patient meetings, conferences and trade shows to educate patients, providers or payors regarding disease/product information and case management services
Maintain a current knowledge base regarding insurance options and requirements (state, federal and commercial payors)
Contribute to the development of departmental policies, procedures and special projects
Participate in and complete required pharmacovigilance training
Identify those areas of work and standard operating procedures related to pharmcoviligance
3-5 years recent Clinical Nursing experience, case management, or insurance experience with a strong, successful track record
Experience working in a multi-disciplinary team environment for continuation of care
Strong communication and negotiation skills
Ability to handle sensitive issues with opposing opinions
Work independently and handle special projects
Ability to multi-task and use up to date technology
Some travel requirements (15%)
Current RN licensure required
Bachelor’s Degree in Nursing preferred
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