Utilization Management Case Manager

Role Overview

• 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.

Requirements

• 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