Care Coordinator

Valeris

. Own patient cases from initiation to closure .

Posted 10/14/2026full-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient case management, including benefit investigations, prior authorizations, and effective communication with patients and healthcare professionals. Proficient in managing client inquiries and adhering to reporting requirements while maintaining strong relationships with stakeholders.

Highest-signal resume keywords

Patient Case ManagementBenefit InvestigationsPrior AuthorizationsClear CommunicationBilingual Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Benefit InvestigationsPrior AuthorizationsFinancial Qualification AssessmentsTyping Speed of 35 Words Per MinuteDetail Oriented

Soft Skills

Clear CommunicationProfessional Telephone EtiquetteMultitasking Ability

Tools & Technologies

PharmaCord Lynk System

Certifications & Qualifications

Bachelor’s Degree or Equivalent Experience

Industry Keywords

Healthcare IndustryPatient Assistance ProgramsClient RelationshipsHCP InquiriesSOPs

About the role

Key responsibilities & impact

Own patient cases from initiation to closure
Conduct benefit investigations, prior authorizations, denial appeals, and financial qualification assessments
Assist patients, prescribers, client stakeholders, HCPs, and other callers through resolution via email, inbound/outbound calls, and Lynk technology
Build and manage trusted patient, prescriber, HCP, and client relationships
Perform program welcome calls and post-benefits-investigation calls
Manage client and HCP inquiries according to reporting requirements and business rules
Manage inbound calls and triage patients to internal or external resources
Provide personalized case management and communicate benefit coverage and next steps
Identify plan benefit coverage, prior authorization, appeal, tier exception, and formulary exclusion requirements
Contact payers and HCPs to follow up on submissions and outcomes
Coordinate nurse education, nurse follow-up, adherence services, and peer support resources
Coordinate product shipments through patient assistance and bridge programs from the PharmaCord pharmacy
Communicate prior authorization reverification and patient assistance program re-enrollment needs
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, follow SOPs, and perform assigned tasks or projects

Requirements

What you’ll need

Bachelor’s degree strongly preferred or equivalent experience required
Customer service and healthcare industry experience preferred but not required
Ability to work an 8.5-hour shift between 8 am to 9 pm, Monday to Friday required
The 11:30 AM - 8 PM ET shift is required for this role
Clear and concise communication
Detail oriented
Professional telephone etiquette
Basic computer knowledge
Ability to multitask effectively
Ability to type at least 35 words per minute with 97% accuracy preferred
Spanish and English bilingual skills are a plus
Flexibility to travel as needed preferred
Successful completion of a background check and, depending on the position, a drug screen
Remote work eligibility subject to all work from home criteria met and based on business need

Benefits

Comp & perks

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
Telehealth and Employee Assistance Program (EAP) services
Company match on Health Savings Account contributions
Free Basic Life and AD&D coverage equal to 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% contributed, with immediate vesting
Paid Time Off (PTO) and Sick Leave
Nine paid holidays plus two floating holidays
Opportunities for advancement and personal and professional growth
Challenging, stimulating work environment that encourages new ideas
Inclusive workplace and mission-driven culture
Remote work eligibility subject to all work from home criteria met and based on business need