Field Case Manager, RN/RPN/LPN

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

📋 Description

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

• Evaluate patient status and assist the prescribing physician with the completion of patient enrollment.

• Prepare payer documentation to access public or private insurance coverage by reviewing patient charts and documenting previous therapies and tests.

• Identify barriers to securing coverage and relay this information to the Program Manager.

• Foster strong working relationships with physicians and their office staff.

• Proactively offer support to resolve issues related to assigned physicians.

• Deliver training to physicians and clinics on the program and new initiatives.

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

• Complete all necessary reports according to specified timelines and required standards.

• Welcome each patient to the program and collect essential patient information.

• Provide reimbursement payer guidelines to both patients and physicians.

• Ensure that patient services are coordinated and monitored in accordance with KPI’s.

• Confirm the outcome of reimbursement navigation with the patient.

• Assist patients in selecting pharmacies and coordinating drug delivery.

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

• Aid in the training and development of new FCM as required.

• Support and assist colleagues through regular and ongoing communication.

• Participate in scheduled physician meetings with the Pharmaceutical team.

• Attend scheduled Continuous Medical Education events.

• Complete all relevant reports (timesheets, expenses, mileage reports, etc.) in accordance with specified timelines and required standards.

⛳️ 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.

• Licensed Nurse (RN or RPN/LPN) with active registration from the College of Nurses in the province of employment.

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

• Must be available to travel within an assigned territory, with some overnight travel potentially required.

• Valid Driver’s License, current auto insurance policy, and access to reliable transportation for regional travel.

• Experience and knowledge in various therapeutic areas is a plus.

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

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

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

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

• Fluency in French and/or English may be necessary depending on the program and geographical location.

🏝️ Benefits

• Medical, dental, and vision care.

• Comprehensive suite of benefits.

• Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, and family building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• A variety of training programs.

• Professional development resources.

• Mentorship programs.

• Employee resource groups.

• Volunteer activities.