Case Manager

Location: New Haven, CT, United States

Job Description:

Alexion.PNG

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

Qualifications

  • 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%

Education

  • Current RN licensure required

  • Bachelor’s Degree in Nursing preferred

 

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