Customize program elements to meet the needs of assigned prescribing physicians
Review patient status and assist the prescribing physician to complete patient enrolment
Prepare payer forms to access public or private coverage by reviewing patient charts
Develop strong working relationships with physicians and physician office staff
Proactively provide assistance to resolve issues with regards to assigned physicians
Complete all relevant reports as per specified timelines and as per required standards
Coordinate private and public coverage activity between patient, physician and insurers
Assist patient with pharmacy selection and coordinate drug delivery
May be required to be on standby/on call as part of this role.

A Bachelor’s degree in health care or a related discipline, or a nurse diploma
Requires a minimum 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 English.

Health insurance
401(k) matching
Flexible work hours
Paid time off
Comprehensive suite of benefits that focus on physical, emotional, financial, and social aspects of wellness.

Field Case Manager

Key skills