Patient Case Manager

Job Description

Job Description

Description:

Who We Are:

TwelveStone Health Partners is focused on the medication needs of patients with chronic, complex and rare conditions. For more than 35 years, TwelveStone Health has been dedicated to finding new ways to deliver care designed around the patient. Chronic conditions include Multiple Sclerosis, NMOSD, Myasthenia Gravis, CIDP, ITP, Migraine Prevention, Crohn’s Disease, Ulcerative Colitis, Plaque Psoriasis, Alpha 1 Antitrypsin Deficiency, Primary Immunodeficiency, hATTR Amyloidosis, Thyroid Eye Disease, and many others.

For patients, we provide access to the most advanced medications, along with the personal and financial support patients need to live with chronic conditions. For providers, we simplify treatment for complex conditions by eliminating the administrative and clinical burdens placed on your practice when patients need innovative specialty medications.

TwelveStone Health Partners supports the transition from acute to post-acute care environments and the journey from sickness to health. We are currently licensed in 50 states.

Summary:

We are currently hiring for the position of Patient Case Manager. This position will serve as a patient journey liaison for Intake, responsible for constant communication between departments for referral workflow. Creates professional interactions with internal and external customers and referral sources. Researches and identifies causes of slow referral movement and collaborates with other teams to improve the referral workflow process.

Essential Duties & Responsibilities:

• Responsible for overseeing, reviewing, and assisting with coordination of workflow processes of new and existing referrals. Utilize reporting tools to determine patient priority.
• Identify and resolve all care coordination complaints, concerns, or deficiencies from Department Managers, Sales/Marketing Staff, and Referral Sources.
• Review status of new referrals within 24-48 hours of receipt. Will assist with determination of IC vs IS workflow due to referral checklist criteria.
• Monitor workflow Queues daily to assess stop gaps in referral process and review for improvements. Engage with appropriate Intake staff member to aid in process of referrals within Queues.
• Coordinate with other department managers in developing new processes/tools to streamline referral workflow.
• Other duties as assigned by management.

Education: High School Diploma or GED required. A current, unrestrictive Licensed Practical Nurse or Certified Pharmacy Technician for the State of Practice

Experience: Minimal of 3 or more years of experience in a pharmacy, healthcare or clinical setting managing a high volume of complex patient cases withing an Intake/admissions referral process. Must be proficient in computer skills, including MS Office, Excel, and Word.

Functional Competencies: Knowledge and understanding of all aspects of the referral workflow process. Verbal and written communication, attention to detail, time management, initiative, prioritization, decision making, follow through, organization, multitasking, critical thinking, problem solving, dependability.