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 the prescribing physician in finalizing patient enrollment and preparing payer documentation.

• Recognize challenges in securing coverage and relay this information to the Program Manager.

• Cultivate robust relationships with physicians and their office staff, offering supplementary support as needed.

• Proactively assist in resolving issues related to assigned physicians.

• Deliver training to physicians and clinics regarding the program and new initiatives sanctioned by the manufacturer.

• Serve as a liaison and provide continuous feedback to the Program Manager.

• Complete all pertinent reports within designated timelines and according to required standards.

• Greet each patient entering the program and collect necessary patient information.

• Supply reimbursement payer guidelines to both patients and physicians.

• Ensure patient services are organized and monitored, facilitating swift access to therapy.

• Manage private and public coverage interactions among patients, physicians, and insurers.

• Verify the results of reimbursement navigation with the patient.

• Assist patients with selecting pharmacies and coordinating drug delivery.

• Report Adverse Events / Severe Adverse Events in accordance with program Standard Operating Procedures.

• Support the training and development of new Field Case Managers as required.

• Maintain communication with the Program Manager, physicians, physician office personnel, client representatives, patients, and nursing teams as necessary.

⛳️ Requirements

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

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

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

• Case management experience is preferred; at least three (3) years of nursing experience in a clinical environment is advantageous.

• Willingness to travel within an assigned territory, with some overnight travel potentially required.

• A valid Driver’s License, a current auto insurance policy, and reliable transportation for regional travel are essential.

• Experience in various therapeutic areas is a plus.

• A background in business administration, particularly in pharmaceutical sales and marketing, is beneficial.

• Familiarity with private and public reimbursement structures, systems, and processes is vital.

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

• Strong analytical abilities, including the interpretation of regulations and legislation, are necessary.

• Fluency in French and/or English may be required, depending on the program and geographic location.

🏝️ Benefits

• Health insurance.

• Dental care.

• Vision care.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Family building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Professional development resources.

• Mentorship programs.

• Volunteer activities.