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Field Case Manager – Lower Mainland, Vancouver BC
Recruiting.comField Case Manager supporting prescribing physicians to ensure patient access to necessary therapies at Cencora. Involves patient enrolment, training, and relationship management in healthcare programs.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- 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
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant 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 reportinganalytical skillsinterpretation of regulationtherapeutic areas knowledgebusiness administrationsales and marketing
Soft Skills
communicationrelationship buildingtraining and developmentorganizational skillsliaison abilitiesproblem-solvingfeedback provisionpatient supportteam collaborationadaptability
Certifications
Bachelor’s degree in health careLicensed Nurse (RN or RPN/LPN)active registration from the College of Nurses