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Field Case Manager Edmonton, AB 12 month Contract job in Edmonton at Innomar Strategies Inc.

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Field Case Manager Edmonton, AB 12 month Contract at Innomar Strategies Inc.

Field Case Manager Edmonton, AB 12 month Contract

Innomar Strategies Inc. Edmonton, Alberta Full Time
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Are you looking to make a difference in a patient’s life?  At Innomar Strategies a part of AmerisourceBergen, you will find an innovative culture that is patient focused and dedicated to making a difference.  As an organization, we are united in our responsibility to create healthier futures.

POSITION SUMMARY:

Reporting to the Program Manager, Specialty Services, the Field Case Manager (FCM) is responsible for managing all aspects of the reimbursement environment and program support for assigned physicians in a given geographical area. An expert in regional government payer policies and procedures, the FCM supports the regional needs of the client and works directly with in house team to facilitate the enrolment, reimbursement and scheduling process to ensure patients have easy access to their prescribed therapy. The individual also assists the physicians in accessing the needs of each patient resulting in increased patient program enrollment and improved patient outcomes.

PRIMARY DUTIES AND RESPONSIBILITIES:

Practice Management

  • Customizes program elements to meet the needs of assigned prescribing physicians;
  • Adherence to College of Nurses standards of nursing practices;
  • Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare Special Authorization (SA) petitions for public or private coverage by auditing patient charts, assessing previous therapies and tests in order to complete the SA;
  • Proactively assesses programs and makes suggestions to enhance outcomes and quality of service;
  • Completes all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.

Patient Support

  • Welcomes each patient to the program and captures required patient information;
  • Provides therapy guidelines to patients and physicians;
  • Ensures patient services are coordinated and tracked, according to KPI’s, resulting in expedited access to therapy;
  • Coordinates private and public coverage activity directly with insurers following program Standard Operating Procedures;
  • Follow up with patient the outcome of reimbursement navigation;
  • 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 patient monitoring;
  • Reports Adverse Events / Severe Adverse Events following program Standard Operating Procedures.
  • Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Associate Program Manager.

Mentorship/Peer Support

  • Assists in training and development of new FCM as needed
  • Supports and assists peers through regular and ongoing communication.
  • Develops and maintains a positive relationship with the Program Patient Support team.
  • Provides timely patient and clinic information as needed, through specific means used by the program.

Client Interface

  • Participates in scheduled KOL physician meetings with Sales Representatives;
  • Develops 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 provides assistance to resolve client issues with regards to assigned physicians;
  • Attends scheduled Continuous Medical Education events and reports new activities;
  • Provides in service presentation to KOL physicians in collaboration with the Sales Representatives on new program initiatives.
  • Provide training to physicians and clinics on program and new initiatives approved by the client.
  • Acts a liaison and provides ongoing feedback to the Patient Assistance Program based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
  • Ongoing maintenance of communication with Program Manager, physicians, physician office staff, client representatives, patients and nursing team as required

Other

  • Completes 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:

  • RN or RPN; Registration with the Provincial College of Nurses; case management experience preferred;
  • Minimum three (3) years nursing experience in a clinical setting an asset;
  • Available to travel within an assigned territory, some overnight travel may be required;
  • BCLS may be required depending on therapeutic area of program;
  • 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;
  • Normally requires a minimum of five (5) years in public or private third party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support,
  • 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, English and/or Cantonese/Mandarin may be required depending on program and geographic location.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:

  • Knowledge of pharmaceutical distribution industry
  • Strong customer service skills
  • Strong business acumen
  • Strong analytical and mathematical skills
  • Strong critical thinking skills
  • Ability to communicate effectively both orally and in writing
  • Effective interpersonal and leadership skills
  • Effective organizational skills; attention to detail
  • Ability to consistently meet deadlines
  • Excellent problem-solving skills; ability to resolve issues effectively and efficiently
  • Excellent presentation skills
  • Intermediate knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs
  • Hold and maintain a valid, non-expired, unrestricted driver’s license

EXPÉRIENCE ET NIVEAU D’ÉDUCATION REQUIS:

  • IA ou IAA; Inscription à l'Ordre provincial des infirmières et infirmiers; expérience en gestion de cas préférable;
  • Disponible pour voyager à l'intérieur d'un territoire assigné, quelques voyages avec nuitées peuvent être nécessaires;
  • Permis de conduire valide, police d'assurance automobile courante, et accès à des moyens de transport fiables, pour les voyages régionaux;
  • Expérience et formation dans divers domaines thérapeutiques est un atout;
  • Normalement requis un minimum de trois (3) à cinq (5) ans dans le domaine du remboursement par des tiers publics ou privés, ou de l'industrie pharmaceutique dans les ventes, la gestion des soins, ou le soutien clinique,
  • Formation en administration des affaires (pharmaceutique) ventes et marketing un atout;
  • Connaissance de la structure, des systèmes et processus de remboursement public et privé;
  • Expérience de la navigation du remboursement, d'autorisation spéciale, des procédures de recours, et dans le soutien et la consultation de remboursement sur ​​le terrain;
  • Solides compétences analytiques, y compris l'interprétation de réglementation et de législation;

We offer competitive total rewards compensation. Our commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population.

  • Comprehensive health and dental plans
  • Flexible & remote working options
  • Employer RRSP-matching
  • Online peer-to-peer recognition program
  • Corporate discounts with multiple establishments, including fitness centers
  • Health & Wellness program with onsite yoga and massage therapy

Throughout our global footprint and various business units, we take a balanced approach to the benefits we offer. Many benefits are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position and/or business unit.


Innomar Strategies a part of AmerisourceBergen is a publicly traded Fortune 10 global healthcare solutions company and is one of the world's largest pharmaceutical services companies. Powered by our associates around the world, we provide pharmaceutical products and business solutions that improve access to care.  We operate the backbone of the healthcare supply chain. We drive the future of local care delivery.  We guide medical innovations to market.  We create healthier futures.

 

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