Field Case Manager

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

📋 Description

• Tailor program components to address the specific needs of assigned prescribing physicians.

• Assess patient status and assist physicians with patient enrollment and payer documentation.

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

• Cultivate relationships with physicians and office staff while providing administrative support.

• Deliver training to physicians and clinics on programs and sanctioned initiatives.

• Act as a liaison with physicians and share feedback with the Program Manager.

• Complete necessary reports, including program, expense, timesheet, mileage, and others.

• Greet patients and collect essential information.

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

• Monitor patient services to facilitate prompt access to therapy.

• Navigate financial aid, pharmacy selection, drug delivery, and therapy coordination.

• Direct clinical inquiries beyond program materials to healthcare providers.

• Report adverse events in accordance with standard operating procedures.

• Assist in training new Field Case Managers and provide support to colleagues.

• Engage in physician meetings and continuing medical education events.

• Present in-service information to physicians alongside Pharmaceutical Representatives.

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

• Execute other assigned responsibilities and participate in standby/on-call coverage as needed.

⛳️ Requirements

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

• Active registration as a Licensed Nurse (RN or RPN/LPN) from the College of Nurses in the province of employment is required.

• A minimum of five (5) years of experience in healthcare, pharmaceuticals, insurance, or a related field.

• Case management experience is preferred.

• At least three (3) years of nursing experience in a clinic setting is an asset.

• Must be available to travel within an assigned territory; occasional overnight travel may be necessary.

• Valid driver’s license, a current auto insurance policy, and reliable transportation for regional travel.

• Experience in various therapeutic areas is advantageous.

• Background in pharmaceutical business administration, sales, and marketing is beneficial.

• Knowledge of private and public reimbursement structures, systems, and processes is essential.

• Experience with reimbursement navigation, special authorization, appeals, and field-based reimbursement support and consultation.

• Strong analytical skills, including the ability to interpret regulations and legislation.

• Fluency in both French and English is required.

• Basic Cardiac Life Support (BCLS) may be required based on the program’s therapeutic area.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Comprehensive wellness benefits encompassing physical, emotional, financial, and social wellness.

• Backup dependent care services.

• Assistance with adoption.

• Infertility coverage.

• Support for family building.

• Solutions for behavioral health.

• Paid parental leave.

• Paid caregiver leave.

• Access to training programs.

• Resources for professional development.

• Mentorship initiatives.

• Employee resource groups.

• Opportunities for volunteer activities.

• Reasonable accommodations provided during the employment process and throughout employment.