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Role Description

This role is pivotal in supporting oncology patients by navigating complex access, reimbursement, and patient support programs. The Regional Nurse Case Manager will serve as a single point of contact for patients, healthcare providers, insurers, and specialty pharmacies, ensuring timely and compliant access to prescribed therapies. The position emphasizes patient advocacy, clinical knowledge, and strategic problem-solving, requiring an independent and detail-oriented professional. You will manage the lifecycle of patient cases, proactively addressing barriers such as prior authorization delays, denials, and specialty pharmacy coordination. Collaboration with cross-functional teams and external partners is essential, as is maintaining rigorous documentation to support compliance and quality. This role operates within a patient-centric model, ensuring that no patient is left behind, while offering flexibility in a remote work environment.

• Serve as the primary contact for patients throughout the therapy process, including benefit verification, prior authorizations, appeals, and specialty or non-commercial pharmacy coordination.
• Monitor all patient cases for delays or obstacles and coordinate with healthcare providers, pharmacies, insurers, and internal teams to resolve issues promptly.
• Ensure seamless transition of patients from Expanded Access Programs to approved therapy access with urgency and compliance.
• Maintain accurate documentation and reporting of access barriers, interventions, and outcomes to support regulatory compliance.
• Foster collaboration and a “one-team” approach with internal teams and external partners, including field reimbursement, pharmacy, medical, quality, and patient access leadership.
• Uphold a culture of patient advocacy, compliance, urgency, and customer-centric care.
• Participate in meetings and external engagements as needed to support patient access and program improvements.

Qualifications

• Bachelor’s degree as a Registered Nurse (RN) with an active state license; advanced degrees such as MSN, MBA, or MHA are a plus.
• 7–9+ years of experience in oncology, patient access, market access, or pharmaceutical patient services programs.
• Proven experience supporting specialty or oral oncology product launches, particularly in start-up or high-growth environments.
• Strong knowledge of payer dynamics, specialty pharmacy and distribution models, reimbursement processes, and patient support program operations.
• Expertise in HIPAA regulations and Adverse Event (AE) reporting.
• Exceptional communication, documentation, and cross-functional collaboration skills.
• Ability to work independently in a remote environment while managing complex patient cases.
• Experience in targeted oncology therapies, rapid-growth companies, or regional patient support operations preferred.

Benefits

• Competitive salary range of $150,000 – $189,000 USD, adjusted for location and experience.
• Comprehensive healthcare coverage including medical, dental, and vision.
• Flexible remote work environment with regional alignment in the Eastern United States.
• Opportunities for professional growth, learning, and development within oncology patient support.
• Collaborative and mission-driven work culture focused on patient advocacy and access.