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Nurse (Health Care)

$64k - $120k

Ashfield Healthcare, LLC

Comprehensive benefits including medical, dental, and vision coverage

Disability and life insurance

Company-paid holidays so you can rest, recharge, and focus on what matters most

Continuous growth opportunities through learning, leadership development, and career advancement support

Coordinate with healthcare providers, specialty pharmacies, and payers to ensure patients gain access to their prescribed medication, understand cost support options, understand educational materials, and receive personalized support throughout their treatment journey.

Serve as the primary point of contact for patients and caregivers who have been prescribed medication to provide personalized support on their treatment journey.

Serve as a point of contact for HCPs for support for enrollments into patient support programs.

Guide patients and/or caregivers through the post‑prescription process including enrollment into support programs, benefits verification, prior authorization, financial assistance, and therapy initiation.

Provide education on program offerings, insurance process, disease state and treatment using approved materials.

Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression.

Conduct benefits investigations to determine insurance coverage, prior authorization requirements, and patient financial responsibility.

Manage the prior authorization and appeals process, including obtaining plan‑specific criteria and requirements, initiating, submitting, and tracking requests, and following up with plans, patients, and HCPs as needed to ensure timely outcomes.

Proactively identify and address barriers to therapy, including financial, clinical, and adherence challenges.

Coordinate with providers, pharmacies, and internal teams to ensure seamless care.

Document all patient interactions and outcomes in compliance with program requirements.

Monitor case progress and escape complex reimbursement issues as needed.

Participate in quality initiatives, audits, and continuous improvement efforts.

Ensure compliance with all regulatory and privacy requirements.

Active, unrestricted RN license required

3+ years of clinical nursing

3+ years of experience in dermatology or immunology preferred

2-5 years of case management and patient support experience

Experience in case management, patient access, HUB services, or specialty pharmacy preferred

Strong understanding of healthcare systems and patient advocacy

Comfortable working in a virtual or call center environment

The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.

About Inizio Engage Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people, and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need. We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. Equal Opportunity & Inclusion Inizio Engage is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by applicable federal, state, or local law. Inizio Engage is committed to providing reasonable accommodations in accordance with applicable law. Inizio Engage complies with applicable fair chance hiring laws and will consider qualified applicants regardless of criminal history. Where permitted by applicable law, employment offers may be contingent upon the successful completion of a background check. Candidate Use of Artificial Intelligence in Interviews As part of our commitment to a fair and equitable hiring process, candidates are expected to complete all interview activities without the use of artificial intelligence tools or external assistance unless such assistance is authorized in advance by Inizio Engage or otherwise required in accordance with applicable law. This includes, but is not limited to, using generative artificial intelligence platforms to produce, edit, or guide responses in real time. Candidates may be asked to confirm compliance with this policy. Any violation of this policy may result in disqualification from consideration of employment. Inizio Engage is a strategic, commercial and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. A passionate, diverse team with global reach and local knowledge. Together, we partner with our clients to challenge conventional thinking to empower people to make better health decisions and enhance treatment outcomes across the globe.

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Vacancy posted 1 day ago
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