Field Case Manager

Jobgether SRL; United States; Remoto; USD 85.000 - 110.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive health benefits

Remote work with home office support

Professional development programs

Parental leave and family-friendly福利

Descrizione del lavoro

Jobgether SRL is seeking a licensed RN for a primarily remote, 12-month contract role supporting physicians, patients, and healthcare teams. You will manage care coordination, chart reviews, and authorization workflows while educating providers on services and reimbursement options.

Applicants should have bilingual English/French capabilities for Quebec and New Brunswick, strong medical terminology knowledge, and the ability to work independently in a remote environment with robust

Competenze

• RN or equivalent healthcare degree.
• Knowledge of Canadian public and/or private third-party reimbursement environments.
• Bilingual English and French for Quebec and New Brunswick roles.
• Strong interpersonal and customer-service skills.

Mansioni

• Serve as the primary contact for physicians and healthcare provider teams within the assigned territory.
• Communicate with patients and program stakeholders and build trusted professional relationships.
• Educate providers and staff about program services, patient support resources, and enrollment processes.
• Review patient charts and ensure documentation is accurate (authorization forms, enrollment, renewals).
• Own the special authorization process to support timely reimbursement.
• Provide physicians with updates on patient status and program changes.
• Adapt services to meet needs of providers and patients in clinic and remote settings.
• Collaborate with program colleagues to ensure a consistent patient-centered experience.
• Participate in healthcare education events as required.

Conoscenze

Nursing expertise

Case management

Communication skills

Medical terminology

Remote collaboration

Time management

Attention to detail

Formazione

Registered Nurse (RN)

Bachelor of Science in Pharmacy

Other healthcare degree

Strumenti

Microsoft Office

Descrizione del lavoro

Accountabilities:

- Serve as the primary contact for physicians and healthcare provider teams within the assigned territory.

- Communicate with patients and program stakeholders as required, developing and maintaining trusted professional relationships.

- Educate healthcare providers and their staff about program services, patient support resources, therapy navigation, reimbursement, and enrollment processes.

- Review patient charts and ensure all required documentation is accurate and complete, including special authorization forms, enrollment documentation, and prescription renewals.

- Take ownership of the special authorization process, ensuring submissions are timely, accurate, and appropriately supported to facilitate reimbursement.

- Provide physicians with ongoing updates and guidance regarding patient status, program changes, processes, and relevant best practices.

- Adapt program services to meet the specific needs of healthcare providers and patients across both in-clinic and remote settings.

- Identify challenges and proactively develop solutions that improve the quality and effectiveness of patient support.

- Collaborate closely with program colleagues and healthcare professionals to coordinate activities and deliver a consistent patient-centered experience.

- Participate in healthcare education events with healthcare professionals when required, including occasional events outside standard business hours.

- Follow established program performance standards, procedures, privacy requirements, and operational guidelines.

Requirements:

- Registered Nurse (RN), Bachelor of Science in Pharmacy, another relevant science degree, or equivalent transferable healthcare experience.

- Knowledge of Canadian public and/or private third-party reimbursement environments.

- Previous case management experience is an asset.

- Bilingual English and French communication skills, both written and verbal, are required for positions supporting Quebec and New Brunswick.

- Strong understanding of medical terminology and the ability to communicate confidently with physicians and healthcare teams.

- Exceptional interpersonal and customer-service skills, with the ability to establish credibility and build trusted professional relationships.

- Strong analytical, organizational, prioritization, and time-management skills, with the ability to manage multiple tasks and competing priorities.

- Excellent written and verbal communication skills, with a strong attention to detail and results-oriented mindset.

- Ability to work independently in a remote environment while collaborating effectively with colleagues and program stakeholders.

- Comfortable adapting to changing priorities, ambiguity, and evolving program requirements.

- Strong computer literacy and proficiency with Microsoft Office applications.

- Ability to exercise sound judgment, demonstrate a sense of urgency, and maintain accuracy when handling sensitive patient and healthcare information.

- Valid, unrestricted, non-expired driver's license and access to a personal vehicle.

- Ability to attend required healthcare education events, including occasional activities outside regular business hours.

- Ability to maintain a private, dedicated home-office space suitable for company-provided equipment.

Benefits:

- 12-month contract opportunity with a full-time schedule.

- Primarily remote work from a dedicated home office, combined with meaningful in-person interaction with healthcare professionals and clinics.

- Comprehensive health and wellness benefits, including medical, dental, and vision coverage where applicable.

- Resources supporting physical, emotional, financial, and social well-being.

- Family-focused support that may include backup dependent care, adoption assistance, family-building support, and caregiver resources.

- Paid parental leave and other family-friendly benefits.

- Access to behavioral health and wellness resources.

- Training and professional development programs to support continued career growth.

- Mentorship opportunities and employee resource groups.

- Opportunities to participate in volunteer and community activities.

- A patient-centered environment where your clinical expertise and relationship-building skills can directly contribute to better healthcare access and outcomes.