Remote Pharmacy Case Manager {170058}

Job Posting: Remote Pharmacy Case Manager (Remote / WFH) — 10 Openings Position: Remote Pharmacy Case Manager Type: W2 Temporary (Contract) Start Date: June 15, 2026 Pay Rate: $20.00/hour Schedule: Full-time (40 hours/week) Must be able to work any assigned 8-hour shift between 7:00 AM–7:00 PM CST Training: 8:00 AM–5:00 PM CST for approximately the first 4–6 weeks (virtual attendance required) Work Location: 100% Remote (U.S. residents eligible) About the Role This position supports patients through pharmacy/benefit access workflows by assisting with case intake, benefit verification, follow-up outreach, documentation, and issue resolution—helping patients navigate coverage, approvals, and specialty pharmacy coordination. What You’ll Do Monitor system queues for new patient cases Make outbound calls to patients regarding approvals/denials, co-pays, and specialty pharmacy dispensing Contact insurance companies to obtain and document accurate benefit information Help resolve complex payer/pharmacy issues to drive positive outcomes Provide an empathetic, patient-centric experience for patients, providers, and physician offices Document interactions in software systems while on the phone (detailed note-taking required) Steward patient accounts from initial contact through final approval/denial Process applications in accordance with policies/procedures and PHI compliance Identify, document, and compliantly submit Adverse Events when applicable Research alternative funding/foundations to determine patient eligibility Work independently within established procedures while meeting daily/weekly metrics Required Skills / Qualifications High school diploma or GED (additional education a plus) Strong communication skills (verbal and written) with excellent attention to detail Ability to multitask across systems while speaking with patients/providers Typing: 40 WPM minimum Strong Microsoft Office skills Comfortable using video tools (Microsoft Teams, Zoom) and working on camera as needed Reliable attendance and ability to work in a high-volume environment Preferred: Healthcare, insurance, pharma, or patient support experience Pharmacy benefits / PBM knowledge (Medicare/Medicaid/commercial) Prior authorization and appeals experience Remote Work / Internet Requirements (Important) You must have a quiet, private, distraction-free workspace and provide your own high-speed internet. Equipment is provided; you are responsible for internet service. Internet must be: Hardwired to the router (no Wi-Fi) Not satellite/cellular/dial-up Minimum 15 Mbps download / 5 Mbps upload Ping rate max 30 ms Surge protector with network line protection required Benefits Benefits available to full-time employees after 90 days 401(k) with company match available after 1 year of service Interested? Apply / Contact Austin Faris A-Line Staffing Solutions Phone: 586-710-7941 Email: afaris@alinestaffing.com Integrate nursing case management with social work case management Identifying patient/family care needs Handle case intake and daily case management Provide telephonic medical case management strategy Serving in a case/care manager role Designated as the case manager for hospice patients Apply effective case management interventions Perform initial case management assessment to determine care coordination and discharge planning needs Evaluate outcomes of patient care Assuming nursing case management responsibilities for designated patients Identify members for case management Provide case management services to geriatrics patients Assume responsibility to coordinate patient care for assigned case load Manage the patient case from pre-admission through discharge Facilitating appropriate health care services throughout the continuum of care Identifying appropriate patients for care management Coordinate the overall interdisciplinary care plans for home health/hospice patients from admission to discharge Evaluate outcomes of care with the interdisciplinary team and medical case managers Providing patient case management services to assigned populations Performing ongoing telephonic case management and treatment planning