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Field Case Manager
3 months ago
Apply locations Remote, BC time type Full time posted on Posted 30+ Days Ago job requisition id R236282 Are you looking to make a difference in a patient's life? Practice Management
Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare Special Authorization (SA) petitions for public or private coverage by auditing patient charts, assessing previous therapies and tests in order to complete the SA;
Proactively assesses programs and makes suggestions to enhance outcomes and quality of service;
Patient Support
Ensures patient services are coordinated and tracked, according to KPI's, resulting in expedited access to therapy;
Coordinates private and public coverage activity directly with insurers following program Standard Operating Procedures;
Assist patient with coordination of therapy and ongoing patient monitoring;
Mentorship/Peer Support
Assists in training and development of new FCM as needed
Supports and assists peers through regular and ongoing communication.
Develops and maintains a positive relationship with the Program Patient Support team.
Provides timely patient and clinic information as needed, through specific means used by the program.
Develops strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed;
Attends scheduled Continuous Medical Education events and reports new activities;
Provides in service presentation to KOL physicians in collaboration with the Sales Representatives on new program initiatives.
Provide training to physicians and clinics on program and new initiatives approved by the client.
Acts a liaison and provides ongoing feedback to the Patient Assistance Program based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
Ongoing maintenance of communication with Program Manager, physicians, physician office staff, client representatives, patients and nursing team as required;The Field Case Manager will also be assigned other duties and tasks as required from time to time.
case management experience preferred;
Minimum three (3) years nursing experience in a clinical setting 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;
Normally requires a minimum of five (5) years in public or private third party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support,
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;
Fluency in French and/or English may be required depending on program and geographic location.
Strong customer service skills
Ability to communicate effectively both orally and in writing
Intermediate knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs
Hold and maintain a valid, non-expired, unrestricted driver's license
The successful candidate may have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.
#Some of these programs include paid time off including paid parental leave, access to retirement savings vehicles, medical, dental, vision, and life insurance options, an employee stock purchase program, and other financial, health, and well-being focused benefits.
Because we take a balanced, global approach to our benefits, benefit offerings may vary by location, position, and/or business unit
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