Field Case Manager

Cencora; United States; Remoto; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Cencora, Inc. is seeking a Field Case Manager to support physicians and patients within our Patient Support Program. You will enrol patients, help complete payer forms, and coordinate private and public coverage to ensure timely access to therapy.

Requirements include a Bachelor’s in health care or a related field (or a nursing diploma), a licensed nurse with active registration, at least five years in healthcare/pharma/insurance, travel readiness, and bilingual English/French is an asset.

Competenze

• Bachelor’s degree in health care or related discipline or nurse diploma.
• Minimum five years in healthcare, pharmaceutical or insurance industry or related experience.
• Licensed Nurse (RN or RPN/LPN) with active registration from the province of employment is required; case management experience is a plus.
• Willingness to travel within an assigned territory; valid Driver’s License and reliable transportation.
• Fluency in French and English is an asset.

Mansioni

• Customize program elements to meet needs of prescribing physicians.
• Assist with enrolment, payer forms, and documenting patient charts for payer access.
• Identify obstacles to coverage and relay to Program Manager.
• Build relationships with physicians and staff to support enrolled patients.
• Provide training to physicians and clinics on program initiatives.
• Act as liaison to Program Manager with field observations and feedback.
• Complete program reports on time and according to standards.
• Support patient navigation and reimbursement processes to expedite therapy.

Conoscenze

Fluency in French and English

Strong analytical skills

Excellent communication

Formazione

Bachelor’s degree in health care or related discipline

Nurse diploma

Licensed Nurse (RN/RPN/LPN) with active registration

Descrizione del lavoro

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.

Job Details

Primary Duties and Responsibilities:

Looking for candidates from the following locations only: Edmonton
Calgary, Saskatoon, GTA, London/Windsor, Hamilton/Niagara, Ottawa, Montreal, Quebec City and Halifax

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 channel this information to the Program Manager;
• Develop 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 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 based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance;
• Complete 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 Case Managers may have limited or no patient interactions)

• 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, resulting in expedited access to therapy;
• 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, assessments and situations that fall outside program provided materials or manufacturer product monograph;
• Report Adverse Events / Severe Adverse Events following program Standard Operating Procedures;

Mentorship/Peer Support

• Assist in training and development of new FCM as needed;
• Support and assist peers through regular and ongoing communication;
• Develop and maintain a positive relationship with the Patient Support Program team;
• Provide timely patient and clinic information as needed, through specific means used by the program.

Manufacturer Interface

• Participate in scheduled physician meetings with Pharmaceutical team;
• Attend scheduled Continuous Medical Education events and reports new activities;
• Provide in service presentation to physicians in collaboration with the Pharmaceutical Representatives.

Other

• Ongoing maintenance of communication with Program Manager, physicians, physician office staff, client representatives, patients and nursing team as required;
• Complete all relevant reports (time sheets, expenses, mileage, reports etc.) as per specified timelines and as per required standards.
• The Field Case Manager 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 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 English is an asset.

The successful candidate will have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams.

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 888.692.2272 or email [e-mail]. 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

Cencora is committed to fair and accessible employment practices.When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.

Affiliated Companies:

Affiliated Companies: Innomar Strategies