Virtual Nurse Navigator (Remote) 10-7p EST, M-F

VMS BioMarketing; United States; Remote; USD 55,000 - 85,000; Full time

Job summary

A leading company is seeking a Virtual Nurse Navigator to provide personalized virtual support to patients and healthcare professionals. This remote role emphasizes reimbursement, patient access, and therapy coordination, ensuring seamless treatment paths. Candidates should possess high emotional intelligence and strong clinical skills, with relevant experience in patient access roles.

Qualifications

• Experience with patient access, reimbursement, or care coordination roles important.
• High emotional intelligence and empathy required for effective patient interaction.
• Proficient in technology platforms, particularly CRM and telephony.

Responsibilities

• Engage with patients and healthcare professionals in a virtual setting.
• Assist patients with access issues and educate them about therapies.
• Provide omnichannel support across various communication platforms.

Skills

Emotional intelligence

Empathy

Clinical skills

Communication

Problem-solving

Organizational skills

Patient service

Education

Experience in patient access or reimbursement roles

Experience in call center environments

Tools

CRM

Microsoft Suite

Job description

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Virtual Nurse Navigator (Remote) 10-7p EST, M-F

The Virtual Nurse Navigator will utilize their professional nursing skills, clinical experience, empathy, and relationship-building abilities to provide personalized virtual support to patients and healthcare professionals (HCPs). The role focuses on reimbursement, patient access, and therapy coordination, ensuring seamless treatment access. The Navigator will assist HCPs in overcoming access barriers and collaborate with vendors, pharmacies, and field teams to optimize patient care. The role combines clinical knowledge with technical skills to deliver exceptional support, service, and guidance.

Essential Functions:

• Provide virtual omnichannel support via email, chat, text, virtual connections, and calls.
• Engage patients and HCPs with empathy and emotional intelligence, building trust and rapport.
• Support HCP office issues related to REMS, reimbursement, insurance, and dispensing.
• Act as a primary contact for patients, offering disease/therapy education and access assistance (benefit verification, prior authorizations, insurance navigation).
• Collaborate with the Momentum Inbound team to identify gaps and improve processes.
• Communicate complex information clearly and empathetically.
• Complete patient engagements accurately based on criteria.
• Contribute to program success through partnerships with patients, field, and operational teams.
• Work cohesively within the team to identify opportunities and escalate issues.
• Provide feedback to managers and teams for product and support improvements.
• Ensure compliance with all regulations and complete required reporting.

Other duties:

This description is not exhaustive; duties may change as needed.

Required Education and/or Experience:

• Experience in patient access, reimbursement, or care coordination support roles.
• Experience in high-volume inbound/outbound call centers.

Required License and/or Credential(s):

None specified.

Required Skills:

• High emotional intelligence and empathy.
• Strong clinical skills, medication compliance knowledge, and understanding of insurance processes.
• Ability to build individualized relationships with patients.
• Accurate recognition and reporting of AEPQC information.
• Positive attitude and adaptability.
• Outstanding patient service skills.
• Proficiency with technology platforms (Telephony, CRM, Microsoft Suite).
• Excellent communication and problem-solving skills.
• Highly organized, detail-oriented, and able to work independently.
• Ability to maintain confidentiality and adapt to changing environments.

Position Requirements:

• Travel: Less than 10% as needed.
• Work Conditions: Sedentary with some standing/walking; office environment.
• Physical Requirements: Fluency in English, effective communication skills.