Field Case Manager

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

📋 Description

• Tailor program components to align with the requirements of designated prescribing physicians

• Assess patient conditions and aid prescribing physicians with patient enrollment and payer documentation

• Recognize coverage barriers and relay them to the Program Manager

• Establish connections with physicians and their office staff while offering office support

• Deliver training to physicians and clinics regarding programs and manufacturer-sanctioned initiatives

• Coordinate with the Program Manager and provide feedback from the field

• Finalize program reports, expense accounts, timesheets, mileage logs, and other necessary documentation

• Greet patients and gather essential information

• Offer reimbursement advice and manage both private and public coverage efforts

• Organize and monitor patient services to facilitate access to therapy

• Guide financial assistance processes and manage pharmacy selection and medication delivery

• Assist with therapy coordination and monitor ongoing therapy status

• Refer clinical inquiries and cases that exceed program materials to healthcare providers

• Document adverse events and serious adverse events in accordance with standard operating procedures

• Mentor and assist new Field Case Managers and colleagues

• Engage in physician meetings and continuing medical education activities

• Conduct in-service presentations to physicians alongside Pharmaceutical Representatives

• Maintain open communication with Program Managers, physicians, office staff, client representatives, patients, and nursing teams

• May be required to be on standby or on call

⛳️ Requirements

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

• At least five (5) years of experience in the healthcare, pharmaceutical, or insurance sectors, or relevant experience

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

• Preferred experience in case management

• A minimum of three (3) years of nursing experience in a clinical environment is advantageous

• Willingness to travel within an assigned territory; some overnight travel may be necessary

• Possession of a valid Driver’s License, current auto insurance policy, and reliable transportation

• Understanding of private and public reimbursement structures, systems, and processes

• Experience with reimbursement navigation, special authorizations, appeals processes, and field-based reimbursement support and consultation

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

• Bilingual in French and English is a plus

• Regular interactions with unilingual English-speaking clients, patients, or colleagues from cross-functional teams

🏝️ Benefits

• Medical, dental, and vision coverage

• Backup dependent care services

• Adoption support

• Infertility coverage

• Family planning assistance

• Behavioral health resources

• Paid parental leave

• Paid caregiver leave

• Training opportunities

• Resources for professional development

• Mentorship initiatives

• Employee resource groups

• Volunteer opportunities