Field Case Manager

1 month ago

Manitoba, Canada Innomar Strategies Full time
Job Title: Field Case Manager

We are seeking a highly skilled and experienced Field Case Manager to join our team at Innomar Strategies. As a Field Case Manager, you will play a critical role in supporting our clients and patients by navigating the complexities of the pharmaceutical industry.

Key Responsibilities:
  • Customize program elements to meet the needs of assigned prescribing physicians;
  • Adhere to College of Nurses standards of nursing practices;
  • Review patient status and assist 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 assess programs and make suggestions to enhance outcomes and quality of service;
  • Complete all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.
Additional Responsibilities:
  • Welcome each patient to the program and capture required patient information;
  • Provide therapy guidelines to patients and physicians;
  • Ensure patient services are coordinated and tracked, according to KPI's, resulting in expedited access to therapy;
  • Coordinate private and public coverage activity directly with insurers following program Standard Operating Procedures;
  • Follow up with patient the outcome of reimbursement navigation;
  • 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 patient monitoring;
  • Report Adverse Events / Severe Adverse Events following program Standard Operating Procedures.
Requirements:
  • RN or RPN registration with the College of Nurses in the province of employment is required;
  • 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;
  • Strong analytical skills including interpretation of regulation and legislation;
  • Fluency in French and/or English may be required depending on program and geographic location.
What We Offer:

We provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.

We also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Our company culture is built on the principles of inclusivity, diversity, and respect. We strive to create a work environment that is welcoming and supportive of all employees.

We are an equal opportunities employer and welcome applications from diverse candidates.

Please note that this job description is not an exhaustive list of responsibilities and may be subject to change.

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