Remote Pharmacy Case Manager {170058}

A-Line Staffing Solutions LLC

Lewisville, TX(remote)

JOB DETAILS
SALARY
$20–$20 Per Hour
SKILLS
Arterial Lines, Biotech and Pharmaceutical, Broadband, Case Management, Certified Case Manager (CCM), Co-Payments, Communication Skills, Detail Oriented, Discharge Plans, Documentation, Geriatrics, Health Insurance, Health Plan, Healthcare, High School Diploma, Home Care, Hospice Care, Insurance, Management Strategy, Medicaid, Medical Office, Medicare, Metrics, Microsoft Office, Microsoft Product Family, Multitasking, Network Routers, Patient Care, Patient Care Denials, Pharmacy, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Social Work, Treatment Evaluation, Typing, Wi-Fi, Work From Home, Writing Skills
LOCATION
Lewisville, TX
POSTED
3 days ago

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

About the Company

A

A-Line Staffing Solutions LLC

A-Line Staffing Solutions is a premier staffing company that supplies professionals to the Healthcare, Insurance, Pharmaceutical, and Information Technology industries. Founded in 2004, A-Line Staffing Solutions has been a leader in matching talented individuals to the jobs that our clients NEED to fill. We are experts at offering creative staffing solutions to employers, and we are hiring every day. A-Line Staffing can offer short-term, long-term and direct-hire opportunities to professionals across the United States. We hire only the most qualified and talented individuals in the country. Our recruiting, selection and stringent screening processes have strengthened our reputation for delivering quality customer service and unbeatable talent. For our commissioned clients, A-Line Staffing closely follows the standards and practices established by The Joint Commission. For all of our clients and employees, our commitment to continual improvement combined with a strict code of ethics provides an atmosphere of respect and unparalleled professionalism. To find out how A-Line Staffing Solutions can share our talent with you, please contact us today. We are eager to include you among our most valued and satisfied clients. If you are a professional and would like to learn more about open opportunities in your area, please contact us today. We are always searching for talented and enthusiastic professionals

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Staffing/Employment Agencies
FOUNDED
2004
WEBSITE
http://www.alinestaffing.com/