Clinical Case Manager

MedRhythms; Portland (ME); Hybrid; USD 50,000 - 70,000; Full time

Benefits offered by this job

Generous paid time off

Collaborative and supportive team

Opportunity for growth across functions

Job summary

A healthcare organization in Portland, Maine, is seeking a full-time Clinical Case Manager. This role involves coordinating prescription services, ensuring accurate documentation, and facilitating communication with healthcare providers. Ideal candidates will be detail-oriented and organized, with strong problem-solving abilities. The position offers flexibility in scheduling and opportunities for professional growth, along with meaningful work on a life-changing product.

Qualifications

• Strong organizational and problem-solving skills with attention to detail.
• Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
• Ability to handle sensitive information with discretion and professionalism.

Responsibilities

• Case-manage prescriptions from intake to completion.
• Review assigned forms and documents for required information.
• Contact healthcare providers to request missing documentation.

Skills

Organizational skills

Problem-solving skills

Strong written communication

Strong verbal communication

Proficiency in Google Suite

Proficiency in Microsoft Office

Experience with CRM systems

Job description

Position Overview

The Clinical Case Manager supports patients, healthcare providers, and internal teams in coordinating prescription services from enrollment through fulfillment. This role ensures documentation is complete and accurate, facilitates communication to obtain required information, and helps maintain timely prescription processing. The ideal candidate is detail-oriented, organized, and committed to delivering a positive patient and provider experience while adhering to privacy and compliance standards.

This is a full‑time position, working Monday to Friday, 8:00 am–5:00 pm EST, with flexibility within those hours based on the achievement of role expectations and the need for collaborative teamwork to meet patients’ needs. While we have a standard schedule for patient and caregiver contacts, we recognize the importance of flexibility and are committed to supporting our employees in this regard. Compensation will align with market data, be commensurate with experience, skills, and qualifications, and include a salary and bonus potential.

Responsibilities

• Case‑manage prescriptions from intake to completion, monitoring missing information and screening for completeness and quality on all documentation.
• Review assigned forms and documents for required information; flag missing or incomplete items.
• Contact healthcare provider offices via fax, email, and phone to request missing documentation or information.
• Record all outreach attempts and communications in the company’s CRM (Salesforce).
• Enter information provided on patient enrollment forms and other documents into the company’s CRM (Salesforce).
• Upload, categorize, and/or save digital files according to company procedures.
• Prepare and send routine communications, using approved templates when applicable.
• Communicate professionally and in compliance with company privacy standards and applicable regulations.
• Complete ad‑hoc projects as needed, such as drafting communications, synthesizing data, or preparing other resources for internal communications or partner relationships.

Qualifications

• Strong organizational and problem‑solving skills with attention to detail.
• Ability to manage multiple tasks and prioritize effectively in a fast‑paced environment.
• Strong written and verbal communication skills.
• Proficiency in Google Suite or Microsoft Office; experience with CRM systems (e.g., Salesforce) is a plus.
• Ability to handle sensitive information with discretion and professionalism.
• Ability to learn quickly and adapt to the constantly changing healthcare landscape.

Desirable Experience

• Experience in the healthcare or pharmaceutical industry, with knowledge of regulatory requirements and compliance standards.
• Experience with customer service software (e.g., Zendesk, Salesforce).
• Familiarity with digital therapeutics or medical devices.
• Experience working in a startup or fast‑paced environment, with the ability to adapt to change and navigate ambiguity.

Benefits

• Meaningful, purpose‑driven work on a life‑changing product.
• Opportunity for growth across various functions.
• Collaborative, supportive, smart, and fun team.
• Generous paid time off: vacation, sick, and volunteer time.
• Downtown Portland, Maine office: inviting office in the heart of the Old Port.

Equal Opportunity

We are an equal opportunity employer and welcome people of diverse backgrounds, experiences, abilities, and perspectives. If you require reasonable accommodation in completing this application, interviewing, or otherwise participating in the talent selection process, please reach out to [e-mail].