Overview Archimedes is a rapidly growing leader in the specialty drug benefit management space. We are looking for a Case and Utilization Manager to coordinate care between physicians, patients and pharmacies. This is a great opportunity for a dependable and dedicated candidate with a passion for helping patients taking specialty medications to treat complex disease states.
Responsibilities 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.
Follows established procedures, processes, and standards for production, productivity, quality, and customer-service. Meets performance targets for speed, efficiency, and quality.
Complete care management clinical escalations. Escalate to account management as appropriate.
Ensure all external and internal customers receive the level of customer service required by Archimedes and serves as a representative of Archimedes to all external customers.
Qualifications 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 in appropriate field of study or nursing background is a plus
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Location 5250 Virginia Way Ste 300, Brentwood, TN 37027, US