What Individualized Care contributes to Cardinal HealthClinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.Individualized Care provides care that is planned to meet the particular needs of an individual patient.Qualifications0-2 years of experience, preferredBA, BS or equivalent experience in related field, preferredPrevious social work experience is preferred2-4 years of Case Management experience is preferredDemonstrate effective, empathetic and professional communicationClear knowledge of Medicare (A, B, C, D)1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred1-2 years of experience with Prior Authorization and Appeal submissionsMust be able to manage multiple concurrent assignmentsMust communicate clearly and effectively in both a written and verbal formatAbility to work with high volume production teams with an emphasis on qualityAble to thrive in a competitive and dynamic environmentIntermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilitiesPrevious medical experience is preferredResponsibilitiesDeliver virtual or telephonic educational support to identified patients, caregivers, Healthcare Professionals (HCPs) and their staff to meet all relevant standards as set by the client companyBe a champion for each patient and consented care partner(s)Answer inbound inquiries of patients, care partners and HCPsAct as primary point of contact for patients and HCPsUnderstand a patient s support needs and interaction preferences to deliver a seamless, tailored patient experience that helps each patient complete their pathway to treatment as prescribed by their HCPEstablish an ongoing relationship with each assigned patient, starting with Welcome, onboarding, treatment initiation, continuation, and ongoing interactionsProvide support and guidance to help ensure patients have access to the patient support program resources by compliantly navigating reimbursement, and mitigating any patient out-of-pocket barriers, as applicableExperience in supporting time sensitive requests and prioritization of assignments and working with a sense of urgency.Investigate and resolve patient/healthcare provider inquiries and concerns in a timely mannerWork closely with patients, patient caregivers, healthcare providers. Sonexus Health reimbursement team, the manufacturer s employees, third party vendors to clearly identify issues and provide resolution.Responsible for meeting the newly identified patient, patient caregivers, healthcare providers over the phone to provide education on the drug, disease process, diagnostic testing, support services provided by the manufacturer and review benefit information.Patient Navigators work closely with the Case Managers to coordinate care and educational opportunities for patients, patient caregivers, and healthcare providers regarding the patient journey.Support healthcare providers with Prior Authorization and Appeals submission to Insurance carrier.Exhibit effective communication and tele-management skills.Proactive follow-up with various contacts to ensure patient access to therapy.Converse with callers in an empathetic manner and build rapportAct as patient and healthcare providers single point of contact for all inquiriesPossess effective organizational skills, including working on multiple cases simultaneously.Responsible for the identification, intake, documentation, and submission of all Adverse Event Reports occurring in patients which are taking or have previously taken the manufacturer s product.Submit all adverse event reports to manufacturer/third party vendor within stipulated timeframe; additionally follow up if requested to do so.Responsible for addressing Medical Information inquiries from consumers, healthcare providers and other entities, including but not limited to, requests for product information, inquiries about side effects, guidelines for appropriate use of the product, etc.Provide identification, intake, documentation, and submission of all reported Product Complaints, per the manufacturer guidelines.Perform other activities related to the internal initiatives and/or the manufacturer s programs as assigned.Responsible for maintaining HIPAA guidelines.Must adhere to strict guidelines regarding the protection of proprietary educational materials and product information that may be printed or available via email, websites, or other electronic means, provided by the manufacturer.Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all partiesWhat is expected of you and others at this levelApplies basic concepts, principles and technical capabilities to perform routine tasksWorks on projects of limited scope and complexityFollows established procedures to resolve readily identifiable technical problemsWorks under direct supervision and receives detailed instructionsDevelops competence by performing structured work assignmentsTraining and Work Schedules:Your new hire training will take place 8:00am - 5:00pm CST, mandatory attendance is required.This position is full-time (40 hours/week). Employees are required to work Monday - Friday, 10:00am - 7:00pm CST.Remote Details:You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.Download speed of 15Mbps (megabyte per second)Upload speed of 5Mbps (megabyte per second)Ping Rate Maximum of 30ms (milliseconds)Hardwired to the routerSurge protector with Network Line Protection for CAH issued equipmentAnticipated hourly range: $26.20 per hour - $37.40 per hourBonus eligible: NoBenefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.Medical, dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programsApplication window anticipated to close: 8/19/2024 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.To read and review this privacy notice click here (