Remote Clinical Programs Case Manager - Infusion Care

Judi Health, LLC; Jersey City (NJ); Remote; USD 65,000 - 70,000; Full time

Job summary

Judi Health, a health technology company, seeks a Clinical Programs Case Management Specialist to support its site-of-care optimization program by coordinating outreach to members, prescribers, and infusion providers to facilitate transitions of infusion services.

The role collaborates with internal teams and external partners to ensure timely service delivery, maintain HIPAA compliance, and document activities in EMR systems.

Qualifications

• Experience in medical case management or healthcare support roles.
• Experience with EMRs, PAPs, and prescriber workflows.
• Minimum 3 years in a clinical setting or PBM/health plan.
• At least 1 year of customer service with strong communication.
• Ability to manage multiple priorities independently.

Responsibilities

• Support site-of-care optimization referrals and outreach to members, prescribers, and providers.
• Educate members on infusion therapy options and site-of-care choices.
• Coordinate referrals and provide status updates throughout the process.
• Act as liaison between internal teams, providers, and partners.
• Document outreach, activities, and outcomes in systems.
• Monitor referrals, escalations, and program adherence to SLAs.

Skills

Case management

Healthcare experience

Customer service

Multitasking

Communication

Tools

Excel

Confluence

Jira

Tableau

Salesforce

Job description

Judi Health, a health technology company, seeks a Clinical Programs Case Management Specialist to support its site-of-care optimization program by coordinating outreach to members, prescribers, and infusion providers to facilitate transitions of infusion services.

The role collaborates with internal teams and external partners to ensure timely service delivery, maintain HIPAA compliance, and document activities in EMR systems.