Lead Remote Social Worker

JobDiva, Inc.; North Carolina; Remote; USD 110,000 - 170,000; Full time

Job summary

TalentBridge is partnering with a leading national healthcare organization to hire an experienced Lead Patient Navigator Social Worker to oversee a team of field-based Patient Navigator Social Workers supporting patients receiving specialty therapies.

This role emphasizes people leadership, patient advocacy, reimbursement expertise, and cross-functional collaboration to improve patient outcomes and ensure successful patient support programs.

Qualifications

• 10+ years in pharma/healthcare, preferably within specialty pharmacy or patient support programs.
• 3+ years reimbursement management with knowledge of insurance coverage and prior authorizations.
• 3+ years direct people management experience leading teams.
• Licensed Social Worker (LSW/LMSW/LCSW) or equivalent.
• Bachelor’s degree in Social Work or related field preferred.
• Strong understanding of patient navigation, specialty therapy access, and reimbursement.

Responsibilities

• Lead, coach, and develop a team of field-based Patient Navigator Social Workers.
• Oversee patient access strategies and team productivity/quality metrics.
• Collaborate with patients, providers, specialty pharmacies, and internal teams to ensure timely therapy access.
• Guide on insurance coverage, prior authorizations, and financial assistance programs.
• Coordinate specialty pharmacy services, infusion therapies, and home-based transitions.
• Set and track individual and team performance goals with coaching plans.
• Support launches and improvements to patient access workflows and programs.
• Maintain accurate patient documentation and privacy compliance in CRM.
• Provide coverage to ensure staffing and continuity of care when needed.
• Work with field teams, market access, and providers to resolve access challenges.

Skills

Leadership

Patient navigation

Reimbursement knowledge

Cross-functional collaboration

CRM proficiency

Education

Bachelor's degree in Social Work, Health Sciences, Healthcare Administration, or related field

Licensed Social Worker (LSW/LMSW/LCSW) or equivalent

Tools

CRM systems

Microsoft Office

Job description

TalentBridge is partnering with a leading national healthcare organization to hire an experienced Lead Patient Navigator Social Worker to oversee a team of field-based Patient Navigator Social Workers supporting patients receiving specialty therapies.

This is an exciting opportunity for an experienced healthcare leader who is passionate about patient advocacy, improving access to life-changing therapies, and developing high-performing teams.

The ideal candidate brings a strong background in specialty pharmacy, patient access, reimbursement, and healthcare operations, along with proven experience leading and developing teams.

Position Overview

The Lead Patient Navigator Social Worker will provide leadership, coaching, and operational oversight for a team of field-based Patient Navigator Social Workers. This individual will ensure patients and their families receive the education, resources, and support needed to navigate insurance coverage, reimbursement, financial assistance, and specialty therapy access.

This role combines people leadership, patient advocacy, reimbursement expertise, and cross-functional collaboration to improve patient outcomes and ensure the successful delivery of patient support programs.

Key Responsibilities

• Lead, coach, mentor, and develop a team of field-based Patient Navigator Social Workers across multiple geographic territories.
• Oversee patient access strategies and ensure team performance meets established productivity, quality, and service objectives.
• Partner with patients, caregivers, healthcare providers, specialty pharmacies, and internal teams to facilitate timely access to specialty therapies.
• Provide guidance on insurance coverage, prior authorizations, reimbursement challenges, and patient financial assistance programs.
• Support the coordination of specialty pharmacy services, infusion therapies, and transitions to home-based treatment.
• Establish individual and team performance goals, monitor results, and implement coaching and development plans.
• Collaborate with program leadership to support new therapy launches, improve patient access workflows, and enhance existing patient support programs.
• Maintain accurate patient documentation and case histories within CRM systems while ensuring compliance with applicable healthcare regulations and patient privacy requirements.
• Provide direct patient navigation and operational coverage when needed to support staffing needs and maintain continuity of care.
• Work collaboratively with field-based teams, market access professionals, and healthcare providers to resolve complex patient access and reimbursement challenges.

Required Qualifications

• 10+ years of experience in the pharmaceutical or healthcare industry, preferably within specialty pharmacy, patient access, reimbursement, or patient support programs.
• 3+ years of reimbursement management experience, including knowledge of insurance coverage, prior authorizations, specialty pharmacy, and patient financial assistance.
• 3+ years of direct people management experience, with a demonstrated ability to lead, coach, and develop high-performing teams.
• Licensed Social Worker (LSW, LMSW, LCSW, or equivalent) or equivalent relevant professional experience.
• Bachelor's degree in Social Work, Health Sciences, Healthcare Administration, Business, Public Policy, or a related field preferred.
• Strong understanding of patient navigation, specialty therapy access, healthcare reimbursement, and patient support services.
• Experience working with specialty pharmacies, healthcare providers, pharmaceutical manufacturers, and/or patient support HUB programs preferred.
• Excellent leadership, communication, problem-solving, and relationship management skills.
• Proficiency in Microsoft Office and experience utilizing CRM or patient case management systems.

Location, Schedule & Travel

Location: Remote / Work From Home

Territory: Candidates must reside within 45 minutes of a major airport and be available to travel across the Eastern, Central, Mountain, and Pacific territories.

Travel: Approximately 25% overnight travel required.

Schedule: Must have flexibility to provide coverage during operating hours of 9:00 AM–9:00 PM EST, including alternating coverage and additional operational support as needed.

Training: Must be available to attend three days of in-person onboarding and product training.

Candidates must have a dedicated, quiet home office environment suitable for confidential patient interactions.

Why Consider This Opportunity?

This position offers the opportunity to combine healthcare leadership with meaningful patient advocacy while supporting individuals navigating complex specialty therapy treatments.

You will play an important role in developing patient navigation professionals, improving access to care, and supporting patients and families throughout their treatment journeys.

Interested? Let's Connect!

If you have a background in social work, patient navigation, specialty pharmacy, reimbursement, or pharmaceutical patient support programs and are ready to take the next step in your healthcare leadership career, we would love to hear from you!