Case And Utilization Manager
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
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
Skills, Competencies and Abilities:
- 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.
- Expert at Microsoft Office Suite.