Bilingual Field Case Manager

This is a fully remote position, open to applicants in Canada.

📋 Description

• Tailor program components for designated prescribing physicians.

• Evaluate patient conditions and aid in patient enrollment and payer documentation for public or private insurance coverage.

• Detect coverage challenges and relay them to the Program Manager.

• Foster collaborative relationships with physicians and their office teams.

• Address concerns for designated physicians.

• Educate physicians and clinics on programs and sanctioned initiatives.

• Act as a liaison with the Program Manager, sharing insights from field observations and physician feedback.

• Greet patients and gather necessary information.

• Offer reimbursement guidance and coordinate activities related to both private and public coverage.

• Monitor patient services in line with KPIs to facilitate therapy access.

• Navigate financial assistance and reimbursement results.

• Aid in pharmacy selection and manage drug delivery logistics.

• Assist in therapy coordination and the ongoing status of therapies.

• Direct clinical inquiries outside program resources to healthcare providers.

• Document adverse and serious adverse events following program SOPs.

• Mentor and assist new Field Case Managers and support colleagues.

• Sustain relationships with the Patient Support Program team.

• Provide timely updates to patients and clinics.

• Engage in scheduled meetings with physicians and pharmaceutical teams.

• Participate in continuing medical education events and provide updates on new initiatives.

• Conduct presentations and in-service training for physicians alongside pharmaceutical representatives.

• Maintain ongoing communication with program, clinical, client, patient, and nursing stakeholders.

• Complete timesheets, expense reports, mileage logs, and program documentation.

• Undertake additional assigned tasks and may be required to be on standby or on call.

⛳️ Requirements

• College diploma in nursing (DEC) or nursing assistant diploma (DEP); registered with the Ordre des infirmières et infirmiers du Québec.

• Bachelor’s degree in healthcare or a related field, or a nursing diploma.

• Licensed Nurse (RN or RPN/LPN) with active registration with the College of Nurses of Quebec.

• At least five (5) years of experience in healthcare, pharmaceutical, insurance, or a related sector.

• A minimum of three (3) years of clinical nursing experience is preferred.

• Experience in case management is advantageous.

• Must be willing to travel within a designated territory; some overnight travel may be necessary.

• Valid driver's license, current auto insurance policy, and access to reliable transportation are required.

• Understanding of private and public reimbursement frameworks, systems, and processes.

• Proficient in reimbursement navigation, special authorization, appeals processes, and field-based reimbursement support and consultation.

• Strong analytical abilities, including the capacity to interpret regulations and legislation.

• Bilingual proficiency in French and English is essential.

• Regular interaction with unilingual English-speaking customers, patients, or colleagues from cross-functional teams.

• BCLS certification may be necessary based on the therapeutic area of the program.

🏝️ Benefits

• Comprehensive medical, dental, and vision coverage.

• Backup dependent care services.

• Adoption support.

• Coverage for infertility treatments.

• Family-building assistance.

• Solutions for behavioral health.

• Paid parental leave.

• Paid caregiver leave.

• Training and development programs.

• Resources for professional development.

• Mentorship opportunities.

• Employee resource groups.

• Community volunteer activities.

• Reasonable accommodations throughout the employment process and during employment.