Field Case Manager

2 months ago

Vancouver, British Columbia, Canada CB Canada Full time
Job Title: Field Case Manager

We are seeking a highly skilled and experienced Field Case Manager to join our team at CB Canada. As a Field Case Manager, you will play a critical role in providing patient-focused support and navigation through the reimbursement process.

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.
What We Offer:
  • A competitive total rewards compensation package;
  • A comprehensive benefits program that includes health, dental, and vision coverage;
  • A generous retirement savings plan;
  • Opportunities for professional development and growth;
  • A collaborative and supportive work environment.
Requirements:
  • RN or RPN registration with the Provincial College of Nurses;
  • 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;
  • 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 Value:
  • Our team members' commitment to delivering exceptional patient care and support;
  • Our collaborative and supportive work environment;
  • Our commitment to diversity, equity, and inclusion;
  • Our focus on continuous learning and professional development.

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