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Field Case Manager – Lower Mainland, Vancouver BC

Location

Canada

Posted

49 days ago

Salary

$67.6K - $104.0K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Field Case Manager – Lower Mainland, Vancouver BC

Recruiting.com

• Customize program elements to meet the needs of assigned prescribing physicians • Review patient status and assist the prescribing physician to complete patient enrolment, prepare payer forms to access coverage • Identify obstacles to obtaining coverage and communicate this to the Program Manager • Develop strong working relationships with physicians and provide additional office support • Provide training to physicians and clinics on program and new initiatives • Acts as a liaison and provide ongoing feedback to the Program Manager • Welcome each patient to the program and capture required patient information • Provide reimbursement payer guidelines to patients and physicians • Ensure patient services are coordinated and tracked • Confirm outcome of reimbursement navigation with the patient • Report Adverse Events / Severe Adverse Events following program SOPs • Assist in training and development of new FCM as needed • Complete all relevant reports as per specified timelines.

Job Requirements

  • A Bachelor’s degree in health care or a related discipline, or a nurse diploma
  • A minimum of five (5) years in the healthcare, pharmaceutical or insurance industry or related experience
  • Licensed Nurse (RN or RPN/LPN) with active registration from the College of Nurses in the province of employment is required
  • Case management experience preferred, minimum three (3) years nursing experience in a clinic setting is an asset
  • Available to travel within an assigned territory, some overnight travel may be required
  • Valid Driver’s License, current auto insurance policy and access to reliable transportation for regional travel
  • Experience and background in various therapeutic areas is an asset
  • Background in business administration (pharmaceutical) sales and marketing an asset
  • Knowledge of private and public reimbursement structure, systems, and process
  • Experience with reimbursement navigation, special authorization, appeals process, and conducting field-based reimbursement support and consultation
  • Strong analytical skills including interpretation of regulation and legislation
  • Fluency in French and/or English may be required depending on program and geographic location.

Benefits

  • Medical, dental, and vision care
  • Backup dependent care
  • Adoption assistance
  • Infertility coverage
  • Family building support
  • Behavioral health solutions
  • Paid parental leave
  • Paid caregiver leave
  • Professional development resources
  • Training programs
  • Mentorship programs

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