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.

• Evaluate patient status and aid physicians in patient enrollment and payer documentation.

• Identify coverage challenges and relay these to the Program Manager.

• Establish relationships with physicians and their office staff while offering office assistance.

• Address concerns for assigned physicians.

• Educate physicians and clinics on programs and initiatives endorsed by manufacturers.

• Act as a liaison with physicians and provide insights to the Program Manager.

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

• Greet patients and gather essential information.

• Offer reimbursement guidance and manage public/private coverage activities.

• Monitor patient services to facilitate therapy access.

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

• Refer patients with clinical inquiries beyond program materials to appropriate healthcare providers.

• Report adverse and severe adverse events following standard operating procedures.

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

• Maintain connections with the Patient Support Program team.

• Engage in physician meetings and continuing medical education activities.

• Deliver in-service presentations to physicians alongside Pharmaceutical Representatives.

• Keep communication open with program stakeholders.

• Execute other assigned tasks and participate in standby/on-call coverage as necessary.

⛳️ Requirements

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

• At least five years of experience in healthcare, pharmaceuticals, insurance, or a related sector.

• Current RN or RPN/LPN registration with the College of Nurses in the province of employment.

• Preferred case management experience.

• A minimum of three years of nursing experience in a clinical environment is advantageous.

• Willingness to travel within a specified territory; occasional overnight travel may be necessary.

• A valid driver's license, up-to-date auto insurance, and dependable transportation for regional travel.

• Experience in various therapeutic areas is beneficial.

• Familiarity with private and public reimbursement frameworks, systems, and procedures.

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

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

• Bilingual fluency in French and English is a plus.

• Capability to interact daily with unilingual English-speaking customers, patients, or cross-functional peers.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Backup dependent care services.

• Adoption assistance programs.

• Infertility coverage available.

• Support for family building.

• Solutions for behavioral health.

• Paid parental leave.

• Paid caregiver leave.

• Training programs available.

• Resources for professional development.

• Mentorship opportunities.

• Employee resource groups.

• Opportunities for volunteer activities.