Field Case Manager

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

📋 Description

• Reviews patient records, treatment history, provider contributions, and supporting documentation to verify readiness for case action and subsequent processing.

• Implements established clinical and operational procedures to facilitate patient enrollment, therapy coordination, case advancement, and access to prescribed treatments.

• Conducts audits of case activities, follow-up measures, and documentation quality to uncover discrepancies, delays, and process deficiencies impacting service delivery.

• Assesses barriers to therapy access, coverage concerns, and coordination risks to identify timely escalation and resolution requirements.

• Interprets program protocols, product guidelines, and operational requirements to deliver clear guidance to patients, providers, and internal teams.

• Facilitates the patient journey by coordinating with healthcare providers, pharmacies, clinics, and support teams to minimize disruptions in therapy access or administration.

• Maintains adverse event reporting, documentation controls, and communication standards in accordance with clinical, quality, and regulatory expectations.

⛳️ Requirements

• A Bachelor's degree in business administration, pharmacy, or a related field, or equivalent experience is required.

• 6+ years of experience in healthcare, pharmacy, managed care, health systems, operations, or a related area is required.

• Project Management Professional (PMP) certification or an equivalent qualification is preferred.

• Certification in Lean Six Sigma is preferred.

• Familiarity with clinical operations, care coordination, and case management processes.

• Understanding of patient support program workflows and therapy access pathways.

• Knowledge of clinical documentation, record maintenance, and audit requirements.

• Awareness of treatment protocols, therapy administration support, and patient education practices.

• Knowledge of reimbursement navigation, coverage processes, and funding support activities.

• Understanding of adverse event reporting, quality controls, and compliance standards.

• Capability to accurately interpret clinical, operational, and reimbursement-related information.

• Ability to assess case status, service risks, and barriers to therapy access.

• Proficient in validating documentation and maintaining accurate case records.

• Skilled in coordinating across patients, providers, pharmacies, clinics, and internal teams.

• Effective in communicating complex care and program information clearly and professionally.

• Competent in stabilizing case progression through timely follow-up, escalation, and issue resolution.

• Capable of auditing case activities and identifying gaps in process execution or documentation quality.

• Committed to upholding confidentiality, quality expectations, and regulatory requirements in daily operations.

🏝️ Benefits

• Medical, dental, and vision care

• Backup dependent care

• Adoption assistance

• Infertility coverage

• Family building support

• Behavioral health solutions

• Paid parental leave

• Paid caregiver leave

• Training programs

• Professional development resources

• Mentorship programs

• Employee resource groups

• Volunteer activities