Senior Field Case Manager – RN/RPN/LPN
Recruiting.com
full-time
Posted on:
Location Type: Remote
Location: Canada
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Salary
💰 CA$73,400 - CA$113,190 per year
Job Level
About the role
- Implementation of program, departmental and protocols at the Field Case manager level
- Review and audit of all protocols related to the Field Case manager team
- Collaboration with the Program Manager to identify efficiency improvements
- Day to day operational management of Field Case Managers regarding support and training
- Front line support to the Field Case Manager team in clarifying nursing issues and administrative processes
- Participation in formal and informal performance appraisals
- Facilitation and securing of informed patient consent for enrollment into patient assistance programs
- Liaison between physician and call-center Case Managers for patient follow up, paperwork and medical clarification for patients in designated territory
- Ensure patient services are coordinated and tracked, according to KPI’s, resulting in expedited access to therapy
Requirements
- A Bachelor’s degree or registered nurse (RN) diploma, advanced degree or specific practice management experience preferred
- Registration with the College of Nurses in the province of employment is required
- Normally requires a minimum of three (3) to five (5) years in public or private third party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support
- Certification as a Gastroenterology (CGN) or Infection Control & Prevention (CIC) Nurse, or working towards certification an asset for some programs
- 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
- Fluency in French, English and/or Cantonese/Mandarin may be required depending on program and geographic location.
Benefits
- Health insurance
- Dental care
- Vision care
- Paid time off
- Flexible working arrangements
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
reimbursement navigationspecial authorizationappeals processfield-based reimbursement supportpatient assistance programsperformance appraisalspatient services coordinationKPI tracking
Soft Skills
collaborationoperational managementfront line supportcommunicationfacilitationliaison
Certifications
Bachelor's degreeregistered nurse (RN) diplomaGastroenterology Nurse (CGN)Infection Control & Prevention Nurse (CIC)