Care Coordinator

Valeris

. Own patient cases from initiation to closure .

Posted 10/27/2026full-timeRemote • Kentucky • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient case management, including benefit investigations, prior authorizations, and effective communication with patients and healthcare providers. Proficient in utilizing electronic tools for coverage identification and maintaining compliance with healthcare regulations.

Highest-signal resume keywords

Patient Case ManagementBenefit InvestigationsPrior AuthorizationsClear CommunicationCustomer Service

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit InvestigationsPrior AuthorizationsFinancial Qualification AssessmentsCase ManagementElectronic Tools UsageDocumentation in PharmaCord LynkTyping at Least 35 Words Per MinuteAdverse Event ReportingProgram Welcome CallsTriage Patients

Soft Skills

Detail OrientedProfessional Telephone EtiquetteSelf-AwarenessAbility to MultitaskPositive AttitudeService OrientedClear and Concise CommunicationAdaptabilityAchievement DrivenInitiative

Tools & Technologies

PharmaCord Lynk SystemLynk Technology

Industry Keywords

Healthcare RegulationsPatient Assistance ProgramsCustomer ServiceStakeholder ManagementHCP InquiriesPharmaceutical IndustryRemote Work EligibilityBilingual SkillsBackground CheckDrug Screen

About the role

Key responsibilities & impact

Own patient cases from initiation to closure
Perform benefit investigations, prior authorizations, denial appeals, and financial qualification assessments for assistance programs
Assist patients and callers/stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
Build trusted relationships with patients, prescribers, and client stakeholders
Manage relationships in accordance with healthcare laws and regulations
Perform program welcome calls and post-benefits-investigation calls to patients and physicians
Manage client and HCP inquiries according to reporting requirements and business rules
Manage inbound calls using program-approved FAQs
Triage patients to internal or external resources
Provide personalized case management and communicate benefit coverage and next steps
Identify benefits and payer coverage using electronic tools and manual investigations
Communicate coverage details, including prior authorization, appeal, tier exception, and formulary exclusion requirements
Follow up with payers and HCPs regarding submissions and outcomes
Coordinate nurse education and nurse follow-up services
Identify peer support resources
Coordinate product shipments through patient assistance and bridge programs from the PharmaCord pharmacy
Communicate needs for prior authorization reverification or patient assistance program re-enrollment
Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
Document activities in the PharmaCord Lynk system
Complete training deadlines and follow SOPs
Perform additional assigned tasks or projects

Requirements

What you’ll need

Detail oriented
Professional telephone etiquette
Self-awareness of your own emotions and the potential impact on others
Basic computer knowledge
Ability to multitask effectively
Ability to recognize emotions and their effects
Sureness about self-worth and capabilities
Manage disruptive impulses
Maintain standards of honesty and integrity
Takes responsibility for performance
Adapts and handles change with flexibility
Is innovative and open to new ideas
Achievement driven; constant striving to improve or to meet a standard of excellence
Aligns with the goals of the group or organization
Ready to take initiative and act on opportunities
Be optimistic and pursue goals persistently despite obstacles and setbacks
Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners
Clear and concise communication
Positive attitude!
Bachelor’s degree strongly preferred or equivalent experience required
Customer service and healthcare industry experience is preferred but not required
Ability to work an 8.5-hour shift between 8 am to 9 pm, Monday to Friday required
Bi-lingual skills in Spanish and English are a plus
Remote work eligibility is subject to all work from home criteria met and based on business need
Ability to talk or hear regularly; sit for long periods; use hands to type, handle or feel; and reach with hands and arms
Prefer candidates who can type at least 35 words per minute with 97% accuracy
Flexibility to travel as needed is preferred
Successful completion of a background check and, depending on the position, a drug screen

Benefits

Comp & perks

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
Additional health support, including telehealth and Employee Assistance Program (EAP) services
Company match on Health Savings Account contributions
Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
Paid Time Off (PTO) and Sick Leave to support work-life balance
Team members receive nine paid holidays plus two floating holidays
Opportunities for advancement in a company that supports personal and professional growth
A challenging, stimulating work environment that encourages new ideas
Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
A mission-driven, inclusive culture where your work makes a meaningful impact