Field Case Manager

3 weeks ago

Toronto, Ontario, Canada CB Canada Full time
Job Summary

We are seeking a highly skilled and experienced Field Case Manager to join our team at AmerisourceBergen. As a Field Case Manager, you will play a critical role in ensuring that patients receive timely and effective access to therapy, while also providing exceptional customer service to our clients.

Key Responsibilities
  • Customize program elements to meet the needs of assigned prescribing physicians, adhering 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, and audit patient charts to assess previous therapies and tests.
  • Proactively assess programs and make suggestions to enhance outcomes and quality of service, completing all relevant reports as per specified timelines and required standards.
  • Welcome each patient to the program, capture required patient information, and provide therapy guidelines to patients and physicians.
  • Coordinate private and public coverage activity directly with insurers following program Standard Operating Procedures, follow up with patients on the outcome of reimbursement navigation, and provide information and navigate patients through financial assistance.
  • Assist patients with pharmacy selection and coordinate drug delivery, assist patients with coordination of therapy and ongoing patient monitoring, and report Adverse Events / Severe Adverse Events following program Standard Operating Procedures.
  • 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, with case management experience preferred.
  • Minimum three (3) years nursing experience in a clinical setting, with 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, as well as knowledge of private and public reimbursement structure, systems, and process.
  • Strong analytical skills, including interpretation of regulation and legislation, and fluency in French and/or English may be required depending on program and geographic location.
What We Offer

AmerisourceBergen offers competitive total rewards compensation, including benefit programs that are comprehensive, diverse, and designed to meet the various needs across our associate population. We take a balanced approach to the benefits we offer, with many benefits being company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position, and/or business unit.

Equal Employment Opportunity

AmerisourceBergen 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

AmerisourceBergen 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 AmerisourceBergen's policy and process to apply for an exemption/accommodation.

Accessibility Policy

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

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