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Field Case Manager

2 months ago


Toronto, Ontario, Canada CB Canada Full time
Job Summary

We are seeking a highly skilled Field Case Manager to join our team at CB Canada. As a Field Case Manager, you will play a critical role in supporting patients and healthcare professionals in navigating the complexities of healthcare reimbursement.

Key Responsibilities
  • Develop and maintain strong relationships with prescribing physicians, their office staff, and patients to ensure seamless program execution.
  • Customize program elements to meet the unique needs of assigned prescribing physicians, adhering to College of Nurses standards of nursing practices.
  • Proactively assess programs and make suggestions to enhance outcomes and quality of service, ensuring timely completion of patient enrolment and Special Authorization (SA) petitions.
  • Coordinate private and public coverage activity directly with insurers, following program Standard Operating Procedures, and provide timely follow-up with patients on reimbursement navigation.
  • Assist patients with pharmacy selection, coordinate drug delivery, and provide ongoing patient monitoring, ensuring expedited access to therapy.
  • Identify obstacles to obtaining coverage and channel this information to the Program Manager and/or Associate Program Manager.
Requirements
  • RN or RPN registration with the Provincial College of Nurses; case management experience preferred.
  • Minimum three (3) years nursing experience in a clinical setting an asset.
  • Available to travel within an assigned territory, with some overnight travel possible.
  • BCLS may be required depending on therapeutic area of program.
  • 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 offer a competitive total rewards compensation package, including benefit programs that are comprehensive, diverse, and designed to meet the various needs across our associate population. Our commitment to our associates includes benefit programs that are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position, and/or business unit.

Equal Employment Opportunity

CB Canada is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status, or membership in any other class protected by federal, state, or local law.

COVID-19 Vaccine Policy

As of October 18, 2021, CB Canada requires all Canadian team members to be fully vaccinated and show proof of completed vaccine status at time of hire. If you cannot receive the COVID-19 vaccine due to a qualifying medical condition or sincerely held religious belief, you will be required to follow CB Canada's policy and process to apply for an exemption/accommodation.

Accessibility Policy

CB Canada is committed to fair and accessible employment practices. When requested, we will accommodate people with disabilities during the recruitment, assessment, and hiring processes and during employment.