Field Case Manager – 18-Month Contract

Location

Canada

Posted

1 day ago

Salary

$67.6K - $104.0K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Field Case Manager – 18-Month Contract

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 public or private coverage by reviewing patient charts • Identify obstacles to obtaining coverage and channel this information to the Program Manager • Develop strong working relationships with physicians and physician office staff • Proactively provide assistance to resolve issues with regards to assigned physicians • Provide training to physicians and clinics on program and new initiatives approved by the manufacturer • 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, according to KPI’s • Coordinate private and public coverage activity between patient, physician and insurers • Confirm outcome of reimbursement navigation with the patient • Provide information and navigate patient through financial assistance • Assist patient with pharmacy selection and coordinate drug delivery • Assist patient with coordination of therapy and ongoing therapy status • Refer the patient to contact their healthcare provider should the patient have clinical questions • Report Adverse Events / Severe Adverse Events following program SOPs • Assist in training and development of new FCM as needed • Develop and maintain a positive relationship with the Patient Support Program team • Participate in scheduled physician meetings with Pharmaceutical team • Attend scheduled Continuous Medical Education events and reports new activities

Job Requirements

  • A Bachelor’s degree in health care or a related discipline, or a nurse diploma
  • Requires a minimum 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
  • training programs
  • professional development resources
  • mentorship programs
  • employee resource groups
  • volunteer activities

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