Patient Navigator Social Worker Jobs (NOW HIRING)

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy.

JOB TITLE: Adherence Navigator (Social Worker)

POSITION SUMMARY:

Adherence Navigator (SW) uses effective listening and communication skills to support patients via phone and other support channels (email, SMS, etc.) following approved talking points. Adherence Navigators will speak to patients enrolled in our support programs to proactively educate them on their condition, prescribed medication, psychosocial, motivational and caregiver concerns, as well as how to best to communicate with their healthcare providers. The Adherence Navigator helps activate patients and empower them to work on their personal, treatment and health goals. This rewarding position allows social workers to support patients to help them overcome challenges, become successful in their treatment, and improve their health and quality of life. This is a remote position.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Represent CareMetx and our clients by delivering excellent patient support that follows the CareMetx protocols and program materials.
• Provide patient and/or caregiver support, via telephone and other support channels, to address patient questions and concerns utilizing program specific approved talking points.
• Build trust-based patient relationships based on empathy and a commitment to help the patient maximize his/her outcome from treatment
• Working with approved talking points, engage each patient to overcome his/her barriers to adherence: knowledge, injection concerns, side effects, cost, motivation, HCP communication, etc.
• Document and maintain records of telephone interactions via a CRM platform.
• Utilize motivational interviewing and cognitive behavioral therapy techniques to promote positive patient outcomes.
• Participate in quality monitoring process where calls and electronic records are reviewed to ensure patient received the highest quality support possible.
• Recognize financial, medical, and legal risks based on data collected during patient interactions and follow appropriate procedures & protocols.
• Protect confidential patient health information (PHI) in accordance with HIPAA Standards and other associated regulatory bodies.
• Complies with all appropriate program policies and procedures.
• Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled.
• Performs other related duties as assigned.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Bachelor of Social Work (minimum)
• Previous experience counseling patients over phone and/or video
• Proficient in use of CRM technology
• Experience counseling cardiovascular patients
• Experience with patient adherence counseling
• Bilingual (Spanish) preferred
• 2 years professional experience

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

• Ability to communicate effectively both orally and in writing.
• Strong computer application skills.
• Strong interpersonal skills, team player.
• Strong organizational and time management skills.
• Strong attention to detail.
• Adaptable and flexible to new situations.
• Work from home position, requires a dedicated office space that is quiet and free from distractions

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit.
• The employee must occasionally lift and/or move up to 10 pounds.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

SCHEDULE:

• Must be flexible on schedule and hours
• Some travel may be required

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.