Case Manager

Title: Case Manager
Company: Cardinal Health
Pay: $20.00 per hour | Weekly Pay + Optional Benefits
Location: Fully remote, schedule in Central Time
Start Date: December 14, 2026, pending on onboarding
Schedule: Monday to Friday, 8:00 AM -5:00 PM CST


*Qualified candidates for this role will have a reliable internet connection to work from home. Equipment is provided.*

**Associates will be expected to attend all training days via Zoom/Microsoft Teams with video cameras on.**

Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, ourclient , a subsidiary of a leading healthcare corporation, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before.

Responsibilities:

• Monitored system accounts for new patient cases.

• Conducted outbound calls to patients to confirm approval/denials of coverage, co-pays, and verification of specialty pharmacies dispensing medication(s).

• Contacted insurance companies as required to obtain and enter accurate benefit information related to patient coverage.

• Mediated effective resolution for complex payer/pharmacy issues toward a positive outcome.

• Placed outbound calls to patients to assess eligibility for co-pay and financial assistance.

• Answered inbound calls and inquiries from healthcare providers and/or patients checking the status of patient journeys.

• Maintained quality while providing an empathetic and supportive experience to patients, providers, and physician offices.

• Resolved patients' questions and concerns regarding the status of their requests for assistance.

• Entered detailed information into company proprietary software while conversing via telephone.

• Stewarded patient accounts from initial contact through final approval/denial.

• Processed all patient applications in accordance with set policies, procedures, and PHI compliance.

• Spoke with manufacturer field team members on case updates via phone or email.

• Worked with and provided updates to team members and leadership on patients' cases.

• Identified, documented, and compliantly submitted adverse events during customer contact or via received documentation.

• Conducted research associated with alternative funding/foundations to determine patient eligibility to receive products.

• Effectively applied knowledge of job and company policies and procedures to complete a variety of assignments.

• Applied advanced skills to resolve complex problems independently.

• Worked independently within established procedures.

Qualifications:

• Minimum of HS diploma; additional education preferred

• Previous healthcare experience with insurance or in pharmaceutical industry, preferred

• Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred

• Previous prior authorization and appeals experience highly desired

• Knowledge of ICD coding, preferred

Skills

• Capable of multi-tasking on computers while conversing with patients via telephone

• Strong attention to detail and quality documentation

• Exceptional verbal communicator with friendly tone, empathy and customer centric focus

• Independent worker and self-starter with solid time management skills and ability to work with high volume production teams

• Continuous learner with a desire to move into a senior level role

• Solid work ethic and driven to achieve daily/weekly metrics

• Adherence to company attendance policies

• Technical Capabilities:

  • Zoom – New hire must be on camera during NEO and subsequent program specific training

  • MS Outlook – Send, receive, and search e-mails

  • MS One Note – Experience using the application

  • MS Teams – Send and receive instant messages

  • Experience working with dual monitors and multiple Internet browsers (IE and Chrome)

Upon acceptance of offer, candidates will be required to submit to a 7-year background check and will undergo a urine panel drug screening. Candidates must also verify 2 employers within the last 5 years and verify their highest level of education. Accepted documents for verification are transcripts, diplomas, pay stubs, W2's, or verification from the school or employer directly.

At Tailored Management, we help people get jobs and take pride in their work, so we better take pride in ours too. Not every company has the opportunity to meaningfully and directly impact individuals in a way that makes their lives tangibly better. To better support our employees, we offer a wide variety of benefit options to support you. We offer:

Medical Coverage – HDHP, PPO, and Surest plan options
Minimum Essential Coverage (MEC)
Dental Insurance
Vision Insurance
Short-Term Disability (STD)
Long-Term Disability (LTD)
Life & AD&D Insurance
Critical Illness Insurance
Accident Insurance
Employee Assistance Program (EAP)

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