Field Case Manager

4 weeks ago

Abbotsford, Canada Innomar Strategies Full time
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today
Job Details
PRIMARY DUTIES AND RESPONSIBILITIES:
Practice Management
  • Customizes program elements to meet the needs of assigned prescribing physicians;
  • Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous t herapies and tests in order t o complete the payer forms;
  • Proactively assesses programs and makes suggestions to enhance outcomes and quality of service;
  • Identifies obstacles to obtaining coverage and channels this information to the Program Manager;
  • Develops 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 provides assistance to resolve issues with regards to assigned physicians;
  • Provides training to physicians and clinics on program and new initiatives approved by the manufacturer;
  • Acts a liaison and provides ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance;
  • Reports Adverse Events / Severe Adverse Events following program Standard Operating Procedures;
  • Completes all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.

Patient Support (Based on program design some Field Drug Access Navigator may have limited or no patient interactions)
  • Welcomes each patient to the program and captures required patient information;
  • Provides reimbursement payer guidelines to patients and physicians;
  • Ensures patient services are coordinated and tracked, according to KPI's, resulting in expedited access to therapy;
  • Coordinates 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 therapy status;
  • Refer the patient to contact their healthcare provider should the patient have clinical questions, assessments and situations that fall outside program provided materials or manufacturer product monograph;
  • Mentorship/Peer Support
  • Assists in training and development of new Field Drug Access Navigator as needed;
  • Supports and assists peers through regular and ongoing communication;
  • Develops and maintains a positive relationship with the Patient Support Program team;
  • Provides timely patient and clinic information as needed, through specific means used by the program.

Manufacturer Interface
  • Participates in scheduled physician meetings with Pharmaceutical team;
  • Attends scheduled Continuous Medical Education events and reports new activities;
  • Provides in service presentation to physicians in collaboration with the Pharmaceutical Representatives on new program initiatives.
  • Other
  • Ongoing maintenance of communication with Program Manager, physicians, physician office staff, client representatives, patients and nursing team as required;
  • Completes all relevant reports (time sheets, expenses, mileage, reports etc.) as per specified timelines and as per required standards.
  • The Field Drug Access Navigator 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.

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
  • A Bachelor's degree in health care or a related discipline, or a nurse diploma; . Requires a minimum of five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience;
  • Licensed Nurse (RN or RPN/LPN) with active registration from the College of Nurses in the province of employment is required. Case management experience preferred; minimum three (3) years nursing experience in a clinic setting is 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;
  • 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 Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also 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. To encourage your personal growth, 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.
Full time
.
Equal Employment Opportunity Cencora 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.
The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call or email . We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
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.
Salary Range
$65,900 CAD - 101,420
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Affiliated Companies: Innomar Strategies

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