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Field Case Manager

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1 Vacancy
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Job Location drjobs

Quebec - Canada

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

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

Principales Fonctions et Responsabilits:

  • Servir de point de contact unique du programme avec les mdecins
  • duquer les mdecins ou leurs employs sur les diffrents services offerts par le programme
  • Fournir des lignes directrices sur les traitements pour grer les attentes du mdecin en ce qui concerne le remboursement
  • Consulter les dossiers des patients pour remplir efficacement les formulaires ncessaires pour obtenir un remboursement
  • Aider les mdecins remplir les formulaires dautorisation spciale (AS) les formulaires dinscription les renouvellements dordonnances et dautres documents
  • Faire des mises jour rgulires aux mdecins sur leurs patients
  • Personnaliser les lments de programme actuels pour rpondre aux mdecins sous sa responsabilit: adapter en fonction des besoins des mdecins en clinique et distance.
  • Dterminer les zones de risques et promouvoir une amlioration proactive et continue de la qualit.
  • Travailler en collaboration avec les autres membres de lquipe dans divers rles pour coordonner le parcours du patient
  • Participer aux runions prvues du mdecin avec les reprsentants commerciaux
  • Assister aux vnements de formation continue en mdecine et rapporter les nouvelles activits
  • Se rendre rgulirement dans les divers cabinets de mdecin
  • Signaler les effets indsirables
  • Autres tches connexes qui lui sont confies

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 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.
  • 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 KPIs 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.

#LI-SH1

Exprience et Scolarit Requise:

  • Infirmire autorise ou infirmier autoris (IA)
  • Un diplme dans un domaine connexe (pharmacie sciences) ou des comptences quivalentes transfrables peuvent tre acceptables
  • Une exprience dans le domaine du remboursement public ou priv tiers ou de reprsentant pharmaceutique des soins grs ou du soutien clinique ou exprience connexe est un atout.
  • Le bilinguisme est un atout (obligatoire pour les postes au Qubec)
  • Une exprience pralable de gestionnaire de cas est un atout.
  • Une certification de CFPC est un atout.

Comptences Connaissances et Aptitudes Requises:

  • Aptitudes interpersonnelles et de service la clientle exceptionnelles
  • Capacit de grer plusieurs tches et priorits concurrentes
  • Comprhension de la terminologie mdicale
  • Trs bonnes comptences danalyse et dorganisation
  • Capacit analyser le volume dinscriptions courant par mdecin
  • Capacit tablir des liens avec un mdecin et son personnel comme un ou une collgue de confiance et bien inform
  • Excellentes aptitudes de gestion du temps et des urgences
  • Capacit collaborer efficacement avec les associs de programme
  • Capacit travailler de faon autonome distance
  • Capacit communiquer efficacement oralement et par crit en anglais et en franais (oral et crit) pour les postes au Qubec et au Nouveau-Brunswick
  • Ax ou axe sur les rsultats et les dtails
  • Capacit sadapter aux changements ou lambigut
  • Trs bonnes aptitudes en information et connaissance de Microsoft Office
  • Capacit assister aux vnements de formation continue en sant avec les mdecins qui peuvent avoir lieu hors des heures normales de travail.
  • Dtenir et maintenir un permis de conduire valide non expir et sans restriction et possder une voiture
  • Respecter les normes de rendement et les procdures exiges par le programme
  • Avoir un bureau ferm rserv cette fin o pourra tre install lquipement fourni par Innomar Strategies

Experience and Educational Requirements:

  • A Bachelors 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 Drivers 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.

The successful candidate will (requirement)/may (asset) have daily contacts with unilingual English-speaking customers patients or peers from cross-functional teams.

Le candidat retenu aura/pourrait avoir des contacts quotidiens avec des clients des patients ou des pairs unilingues anglophones dquipes interfonctionnelles

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 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 companys 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 . 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 requested Cencora will accommodate people with disabilities during the recruitment assessment and hiring processes and during employment.

Affiliated Companies:

Affiliated Companies: Innomar Strategies

Required Experience:

Manager

Employment Type

Full-Time

About Company

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