Nurse Navigator

Ashfield Healthcare, LLC; Yardley (WA); Hybrid; USD 64,000 - 120,000; Full time

Benefits offered by this job

Competitive pay

Medical benefits

Dental benefits

Vision benefits

Accrued PTO

401(k) with company match

Disability insurance

Life insurance

Parental leave

Company holidays

Recognition programs

Learning & leadership development

Collaborative culture

Job summary

Inizio Engage is hiring a registered nurse to support patient access and case management for prescription therapies. You will coordinate with providers, payers, and patient support programs to ensure timely and compliant treatment progression across the patient journey.

The role emphasizes collaboration, education on benefits and coverage, and proactive problem solving in a virtual or call center environment within the United States.

Qualifications

• Active, unrestricted RN license required.
• 3+ years of clinical nursing experience.
• 3+ years of dermatology or immunology experience preferred.
• 2-5 years of case management and patient support experience.
• Experience in case management, patient access, HUB services, or specialty pharmacy preferred.
• Strong understanding of healthcare systems and patient advocacy.
• Excellent communication and interpersonal skills.
• Ability to manage a patient caseload independently.
• Strong organizational and problem‑solving skills.
• Comfortable working in a virtual or call center environment.

Responsibilities

• Coordinate with healthcare providers, specialty pharmacies, and payers to help patients access medications and understand cost support.
• Serve as the primary contact for patients and caregivers with personalized support throughout treatment.
• Support enrollments into patient support programs with healthcare providers.
• Guide patients through post‑prescription steps including benefits verification and prior authorization.
• Educate on program offerings, insurance processes, disease state, and treatment using approved materials.
• Manage patient cases from referral through therapy initiation with timely, compliant progression.
• Conduct benefits investigations to determine coverage and patient financial responsibility.
• Handle prior authorization and appeals, obtaining plan criteria and tracking requests.
• Identify barriers to therapy and address financial, clinical, and adherence challenges.
• Support medication adherence and ongoing patient engagement through touchpoints.
• Coordinate with providers, pharmacies, and internal teams for seamless care.
• Document all patient interactions and outcomes per program requirements.
• Monitor case progress and resolve complex reimbursement issues as needed.
• Participate in quality initiatives, audits, and continuous improvement efforts.
• Ensure compliance with regulatory and privacy requirements.

Skills

Excellent communication

Interpersonal skills

Organizational skills

Problem-solving

Caseload management

Job description

Why You’ll Love Working Here

• Competitive pay that recognizes your experience, expertise, and impact
• Comprehensive benefits including medical, dental, and vision coverage
• Accrued paid time off
• 401(k) with company match
• Disability and life insurance
• Paid maternity and paternity leave
• Company-paid holidays so you can rest, recharge, and focus on what matters most
• Recognition programs, contests, and awards that celebrate your contributions
• Continuous growth opportunities through learning, leadership development, and career advancement support
• A collaborative culture where your ideas are valued and your work makes a difference

We’re also proud to be recognized for creating an exceptional employee experience: Best Place to Work in BioPharma — 2022, 2023, 2025 Certified Great Place to Work — 2021, 2023, 2025, 2026 Learn more: https://www.greatplacetowork.com/certified-company/7003732

What will you be doing?

• Coordinate with healthcare providers, specialty pharmacies, and payers to ensure patients gain access to their prescribed medication, understand cost support options, understand educational materials, and receive personalized support throughout their treatment journey.
• Serve as the primary point of contact for patients and caregivers who have been prescribed medication to provide personalized support on their treatment journey.
• Serve as a point of contact for HCPs for support for enrollments into patient support programs.
• Guide patients and/or caregivers through the post‑prescription process including enrollment into support programs, benefits verification, prior authorization, financial assistance, and therapy initiation.
• Provide education on program offerings, insurance process, disease state and treatment using approved materials.
• Manage assigned patient cases from referral through therapy initiation, ensuring timely, accurate, and compliant case progression.
• Conduct benefits investigations to determine insurance coverage, prior authorization requirements, and patient financial responsibility.
• Manage the prior authorization and appeals process, including obtaining plan‑specific criteria and requirements, initiating, submitting, and tracking requests, and following up with plans, patients, and HCPs as needed to ensure timely outcomes.
• Proactively identify and address barriers to therapy, including financial, clinical, and adherence challenges.
• Support medication adherence and ongoing patient engagement through a series of touchpoints.
• Coordinate with providers, pharmacies, and internal teams to ensure seamless care.
• Document all patient interactions and outcomes in compliance with program requirements.
• Monitor case progress and escape complex reimbursement issues as needed.
• Participate in quality initiatives, audits, and continuous improvement efforts.
• Ensure compliance with all regulatory and privacy requirements.

What do you need for this position?

• Active, unrestricted RN license required
• 3+ years of clinical nursing
• 3+ years of experience in dermatology or immunology preferred
• 2-5 years of case management and patient support experience
• Experience in case management, patient access, HUB services, or specialty pharmacy preferred
• Strong understanding of healthcare systems and patient advocacy
• Excellent communication and interpersonal skills
• Ability to manage a patient caseload independently
• Strong organizational and problem‑solving skills
• Comfortable working in a virtual or call center environment

The base pay range for this position is $64K – $120K per year. The final compensation offered to a successful candidate will be determined by factors such as experience, skills, internal equity, and business needs.

About Inizio Engage

Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people, and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need. We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. To learn more about Inizio Engage, visit us at: https://inizio.com/

Equal Opportunity & Inclusion

Inizio Engage is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by applicable federal, state, or local law. Inizio Engage is committed to providing reasonable accommodations in accordance with applicable law. Inizio Engage complies with applicable fair chance hiring laws and will consider qualified applicants regardless of criminal history. Where permitted by applicable law, employment offers may be contingent upon the successful completion of a background check. Any information obtained from a background check will be considered in relation to the requirements of the relevant position, consistent with applicable law.

Candidate Use of Artificial Intelligence in Interviews

As part of our commitment to a fair and equitable hiring process, candidates are expected to complete all interview activities without the use of artificial intelligence tools or external assistance unless such assistance is authorized in advance by Inizio Engage or otherwise required in accordance with applicable law. This includes, but is not limited to, using generative artificial intelligence platforms to produce, edit, or guide responses in real time. Candidates may be asked to confirm compliance with this policy. Any violation of this policy may result in disqualification from consideration of employment. Candidates may submit requests for reasonable accommodation in accordance with applicable law to the Inizio Engage Talent Acquisition team.

Inizio Engage is a strategic, commercial and creative engagement partner that specializes in healthcare.

Our passionate, global workforce augments local expertise and diverse mix of skills with data, science and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. That’s why at Inizio Engage we’ve brought together a group of more than 7,000 experts, working in more than 20 countries. A passionate, diverse team with global reach and local knowledge. Together, we partner with our clients to challenge conventional thinking to empower people to make better health decisions and enhance treatment outcomes across the globe.