Field Case Manager – 18-Month Contract

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Recruiting.com

WebsiteLinkedInAll Job Openings

11 - 50 employees

🎯 Recruiter

☁️ SaaS

🤝 B2B

💰 Private Equity Round on 2006-06

Recruitment • SaaS • B2B

Recruiting. com is a recruitment platform that collects personal and non-personal information from job seekers to be used by recruiters and hiring managers. Users can submit their resumes or fill out a short form to be considered for current and future job opportunities. The site emphasizes user privacy and allows users to manage their personal data, including modifying, changing, and deleting their information. Recruiting. com securely stores user data until they request deletion, providing a comprehensive recruitment solution for both job seekers and employers.

📋 Description

• 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 • Identify obstacles to obtaining coverage and channel this information to the Program Manager • Develop strong working relationships with physicians and physician office staff • Proactively provide assistance to resolve issues with regards to assigned physicians • Provide training to physicians and clinics on program and new initiatives approved by the manufacturer • Acts as a liaison and provide ongoing feedback to the Program Manager • Welcome each patient to the program and capture required patient information • Provide reimbursement payer guidelines to patients and physicians • Ensure patient services are coordinated and tracked, according to KPI’s • Coordinate private and public coverage activity between patient, physician and insurers • Confirm outcome of reimbursement navigation with the patient • 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 • Report Adverse Events / Severe Adverse Events following program SOPs • Assist in training and development of new FCM as needed • Develop and maintain a positive relationship with the Patient Support Program team • Participate in scheduled physician meetings with Pharmaceutical team • Attend scheduled Continuous Medical Education events and reports new activities

🎯 Requirements

• 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 French and/or English may be required depending on program and geographic location.

🏖️ Benefits

• medical, dental, and vision care • backup dependent care • adoption assistance • infertility coverage • family building support • behavioral health solutions • paid parental leave • paid caregiver leave • training programs • professional development resources • mentorship programs • employee resource groups • volunteer activities