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Role Description

The Nurse Case Manager (RNCM) role sits at the intersection of patient advocacy, insurance policy, and product access – making this a critical role in supporting patients who have been prescribed a Revolution Medicines’ therapy. The RNCM Team will operate in a hybrid model in close partnership with a third-party HUB responsible for intake, benefits investigation, and Customer Relationship Management (CRM) operations.

• Work directly with patients, healthcare providers, insurers, field reimbursement team, and other key stakeholders.
• Help patients understand their coverage and access the company’s patient support programs.
• Connect with external resources that help overcome access barriers.
• Manage the launch and ongoing lifecycle of Revolution Medicines’ approved therapies using a patient-centric model.
• Act as a single point of contact to proactively manage individual patient cases.
• Ensure access and financial barriers are compliantly overcome, including:
  • Benefit verifications
  • Prior Authorization (PA) delays
  • Denials and appeals hurdles
  • Specialty pharmacy (SP) and non-commercial pharmacy routing issues
  • Affordability barriers
  • Complex Center for Medicare and Medicaid cases (CMS)
  • Community resources
• Execute smooth transition of all Expanded Access Programs (EAP) patients with urgency upon FDA approval.
• Manage standardized escalation frameworks with the Field Reimbursement Team (FRDs), specialty pharmacies, non-commercial pharmacy, and insurance providers.
• Ensure timely contact with patients and providers during each step from enrollment to closure of case.
• Monitor all patient cases for delays or bottlenecks, ensuring immediate contact with appropriate stakeholders.
• Maintain rigorous documentation standards to ensure access barriers are tracked and compliantly resolved.
• Foster a culture grounded in patient advocacy, compassion, compliance, customer centricity, urgency, and collaboration.
• Create and manage a “one-team” mindset with other critical access teams.
• Travel as needed to home office and external meetings/conferences.
• Other duties as assigned.

Qualifications

• Bachelor’s Registered Nurse degree required with current state license.
• 7 to 9+ years of experience in oncology, Patient Access, market access, or pharmaceutical patient service programs.
• Proven experience supporting specialty or oral oncology launches (start-up or high-growth environments strongly preferred).
• Deep understanding of payer dynamics, specialty pharmacy and distribution models, reimbursement processes, and patient support program operations.
• Exceptional skills in communication, compliant documentation, and cross-functional collaboration.
• Extensive knowledge of HIPAA regulations and Adverse Event (AE) reporting.

Requirements

• Advance degree (MSN, MBA, MHA, other) preferred.
• Launch and customer-facing experience preferred.
• Experience with targeted oncology product experience strongly preferred.
• Experience in a smaller, rapidly growing company preferred.

Benefits

• Base pay salary range: $150,000 — $189,000 USD.
• Competitive cash compensation.
• Robust equity awards.
• Strong benefits.
• Significant learning and development opportunities.