Location: New Haven, CT, United States
RN Case Managers provide education, treatment support, and access for patients with rare and 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.
Job Duties & Responsibilities
Build/maintain patient relationship in order to provide ongoing treatment support to enrolled patients along the entire patient journey of rare disease with FDA approved Alexion Therapies
Facilitate the coordination of health care provider and payor resources to ensure access to chronic complement inhibition therapy for patients with PNH, aHUS, HPP & LAL D.
Obtain patient consent and comply with privacy rules
Develop and implement plans of action to overcome barriers to disease knowledge or access for patient’s choice of Alexion FDA approved therapies.
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 as per OneSource CM Program design and in compliance with company policies
Identify resources for patient assistance
Attend patient meetings, conferences 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)
Work in tandem with 3rd party vendors in compliance with company policy to support patient needs
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
Meet with HCPs when in need of OneSource introduction and overview of services is needed; may include provider offices, infusion sites, facilities or free standing sites – upon request of HCP and approval by CM manager
Compliance with all Alexion Policies
3-5 years recent Clinical Nursing experience, case management, or insurance experience with a stong, 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
Travel requirements 25-30%
Current RN licensure required
Bachelor’s Degree in Nursing preferred
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