Field Case Manager

2 months ago

Manitoba, Canada Innomar Strategies Full time
About the Role

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 providing exceptional clinical support and reimbursement navigation services.

Key Responsibilities
  • Practice Management
    • 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 enrollment, 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.
  • Patient Support
    • 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 KPIs, resulting in expedited access to therapy;
    • Coordinate private and public coverage activity directly with insurers following program Standard Operating Procedures;
    • Follow up with patients on the outcome of reimbursement navigation;
    • 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;
    • 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.
  • Mentorship/Peer Support
    • Assist in training and development of new FCMs as needed;
    • Support and assist peers through regular and ongoing communication;
    • Develop and maintain a positive relationship with the Program Patient Support team;
    • Provide timely patient and clinic information as needed, through specific means used by the program.
  • Client Interface
    • Participate in scheduled KOL physician meetings with Sales Representatives;
    • Develop 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;
    • Proactively provide assistance to resolve client issues with regards to assigned physicians;
    • Attend scheduled Continuous Medical Education events and report new activities;
    • Provide 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.
    • Act as a liaison and provide 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;
  • Other
    • Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and as per required standards.
    • The Field Case Manager will also be assigned other duties and tasks as required from time to time.
    • May be required to be on standby/on call as part of this role.

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