Field Case Manager – 15 months contract, RN/RPN/LPN
Recruiting.com
contract
Posted on:
Location Type: Remote
Location: Canada
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About the role
- 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
- Complete all relevant reports as per specified timelines and as per required standards
- 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
- Report Adverse Events / Severe Adverse Events following program Standard Operating Procedures
- 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
- Complete all relevant reports as per specified timelines and as per required standards.
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
- comprehensive suite of benefits focusing on wellness
- support for working families
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
case managementreimbursement navigationpatient enrolmentpayer forms preparationadverse event reportingfinancial assistance navigationpharmacy selection coordinationanalytical skillsinterpretation of regulationtherapeutic area knowledge
Soft Skills
relationship buildingproblem solvingcommunicationtraining and developmentteam collaborationorganizational skillsproactive assistanceliaison skillsfeedback provisionpatient support
Certifications
Licensed Nurse (RN)Licensed Practical Nurse (RPN/LPN)active registration from College of Nurses