Field Case Manager – 18-Month Contract
Location
Canada
Posted
1 day ago
Salary
$67.6K - $104.0K / year
Seniority
Senior
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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