Help patients with rare diseases actually start and stay on the therapies they need while you work from home and travel to support them in person. As a Patient Navigator Social Worker with CareMetx, you will guide patients and caregivers through access, reimbursement, and home therapy so treatment does not get stuck in the system.
About CareMetx
CareMetx delivers patient access solutions and support services for pharmaceutical and biotech companies, helping patients quickly start and stay on specialty therapies. From intake to outcomes, they streamline benefit investigations, prior authorizations, and financial assistance so providers can focus on care. Their digital hub model connects patients, providers, and brands to drive better outcomes and faster time to therapy.
Schedule
⦁ Fully remote work from home position with a dedicated, quiet office space.
⦁ Schedule flexibility with alternating coverage between 9 am and 9 pm EST.
⦁ Must live within 45 minutes of a major airport in the designated territory (East, Central, Mountain, or Pacific).
⦁ Must be able to attend in person onboarding training for 3 days.
⦁ Travel required up to 50 percent of the time, including overnight trips.
What You’ll Do
⦁ Work closely with patients, caregivers, and providers to help patients gain and maintain access to specialty therapies.
⦁ Partner with specialty pharmacies, nursing agencies, and the hub team to coordinate reimbursement, product delivery, and supplies for home therapy.
⦁ Provide information on reimbursement options and financial assistance programs to support patient affordability.
⦁ Help resolve ongoing reimbursement issues such as insurance changes and prior authorizations, coordinating with payers and internal teams as needed.
⦁ Maintain detailed case histories in the CRM system for all assigned patients and ensure documentation is current and accurate.
⦁ Answer patient and medical office inquiries related to access and reimbursement, and help resolve barriers to treatment.
⦁ Collaborate with Field Sales Representatives and Market Access teams to support patient and provider needs.
⦁ Provide ongoing support through regular calls and occasional in person meetings with patients and caregivers.
⦁ Assist with patient access requests and guide patients through application processes for support programs.
What You Need
⦁ Master’s degree in Social Work preferred.
⦁ Licensed Social Worker or equivalent experience.
⦁ Minimum 3 years of reimbursement experience preferred, including benefits investigation, prior authorization, medical benefit, and Medicaid exposure.
⦁ Required bilingual fluency in English and Spanish.
⦁ Strong listening, written, and analytical skills, with the ability to explain complex access and reimbursement concepts clearly.
⦁ Proficiency in Word, Excel, and PowerPoint for reporting and presentations.
⦁ Strong customer care skills, leadership, and interpersonal communication.
⦁ Flexibility, attention to detail, and comfort adapting to changing priorities and program needs.
⦁ Ability to meet goals and objectives in a remote, field based role while complying with all relevant laws, regulations, and company policies.
Benefits
⦁ Competitive salary aligned with experience, licensure, and travel expectations.
⦁ Fully remote role plus the opportunity to travel and meet patients, caregivers, and providers face to face.
⦁ Chance to work in a mission driven niche that directly impacts access to life changing specialty therapies.
⦁ Supportive culture that cares about doing right by both patients and employees.
If you are a bilingual social worker who wants to blend remote flexibility, real patient impact, and field work, this is one to move on quickly.
Happy Hunting,
~Two Chicks…