Field Case Manager - British Columbia
Apply locations: Remote, BC | Time type: Full time | Posted on: Posted Yesterday | Job requisition id: R258387
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
- 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, documenting previous therapies and tests in order to complete the payer forms.
- Identify obstacles to obtaining coverage and communicate this to the Program Manager.
- Develop strong relationships with physicians and office staff, providing additional support to ensure smooth maintenance of enrolled patients.
- Proactively assist in resolving issues with assigned physicians.
- Provide training to physicians and clinics on the program and new initiatives.
- Act as a liaison and provide ongoing feedback to the Program Manager based on field observations and feedback from physicians regarding quality of services, training, and other relevant areas.
- Complete all relevant reports (program-specific reports, expenses, etc.) as per timelines and standards.
Patient Support
(Based on program design, some Field Case Managers may have limited or no patient interactions)
- Welcome each patient to the program and collect required information.
- Provide reimbursement guidelines to patients and physicians.
- Coordinate and track patient services to expedite access to therapy.
- Coordinate coverage activities between patient, physician, and insurers.
- Confirm reimbursement outcomes with the patient.
- Assist with financial assistance navigation and pharmacy selection.
- Coordinate therapy and monitor ongoing therapy status.
- Refer patients to healthcare providers for clinical questions outside program scope.
- Report adverse events following SOPs.
Mentorship/Peer Support
- Assist in training new team members.
- Support peers through ongoing communication.
- Maintain positive relationships with the Patient Support Program team.
- Provide timely information to patients and clinics.
Manufacturer Interface
- Participate in scheduled physician meetings with the pharmaceutical team.
- Attend CME events and report new activities.
- Deliver in-service presentations to physicians with pharmaceutical reps.
Other
- Maintain communication with all stakeholders.
- Complete reports and administrative tasks as required.
- Perform other duties and tasks as assigned.
- May be on standby/on-call.
Experience and Educational Requirements:
- Bachelor’s degree in healthcare or related discipline, or a nurse diploma.
- Minimum five (5) years in healthcare, pharmaceutical, or insurance industry or related experience.
- Licensed Nurse (RN or RPN/LPN) with active registration in province of employment; case management experience preferred.
- 3+ years nursing experience in a clinical setting is an asset.
- Willingness to travel within assigned territory; some overnight travel may be required.
- Valid driver’s license, auto insurance, reliable transportation.
- Experience in therapeutic areas, business administration, or sales/marketing is an asset.
- Knowledge of reimbursement systems and processes.
- Experience with reimbursement navigation and field-based support.
- Strong analytical skills, understanding of regulations and legislation.
- Fluency in French and/or English may be required depending on location.
What Cencora Offers
We provide compensation, benefits, and resources supporting an inclusive culture and wellness. Benefits include medical, dental, vision, family support, behavioral health, paid parental and caregiver leave, training, and professional development programs.
Full-time position.
Equal Employment Opportunity
Cencora is committed to an inclusive, non-discriminatory workplace and provides accommodations for individuals with disabilities during the employment process.
For accommodation requests, contact: 888.692.2272 or hrsc@cencora.com.
Accessibility Policy
We are committed to accessible employment practices and will accommodate individuals with disabilities upon request.
Salary Range
$65,900 CAD - 101,420 CAD
Affiliated Companies
Innomar Strategies