Field Nurse Case Manager

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

📋 Description

• Manage practice operations by tailoring program components to suit the needs of designated prescribing physicians.

• Evaluate patient status and assist with their enrollment and payer documentation.

• Identify barriers to securing coverage and communicate findings with the Program Manager.

• Cultivate strong professional relationships with physicians while providing supplementary support.

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

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

• Complete relevant reports in accordance with established timelines and standards.

• Greet patients and collect necessary information.

• Offer reimbursement payer guidelines to both patients and physicians.

• Ensure that patient services are organized and monitored for swift access to therapy.

• Coordinate coverage activities among patients, physicians, and insurers.

• Verify the outcomes of reimbursement navigation with patients.

• Assist in selecting pharmacies and coordinating drug delivery.

• Mentor and support colleagues through consistent communication.

• Participate in scheduled meetings with physicians and attend educational events.

• Maintain ongoing communication with relevant stakeholders.

⛳️ 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 industries or related fields.

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

• Case management experience is preferred; a minimum of three (3) years of nursing experience in a clinic environment is advantageous.

• Must be available to travel within a designated territory, with some overnight travel potentially required.

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

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

• A background in business administration (pharmaceutical) sales and marketing is beneficial.

• Familiarity with 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 required depending on the program and geographic location.

🏝️ Benefits

• Medical, dental, and vision care.

• Comprehensive benefits package focusing on wellness.

• Support for working families, including backup dependent care and adoption assistance.

• Coverage for infertility and family-building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Access to training programs and professional development resources.

• Mentorship programs and employee resource groups.