Gestionnaire de Cas sur le Terrain, Bilingue / Bilingual Field Case Manager (RN/RPN/LPN)

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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.

Patient Support

• 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 Education Requirements:

• IA or IAA; Registration with the College of Nurses of Ontario; case management experience preferred;
• Minimum of three (3) years of experience in a clinical setting is an asset;
• Available to travel within an assigned territory, some overnight travel may be required;
• BCLS may be required depending on the therapeutic area of the program;
• Valid driver's license, current auto insurance, and access to reliable transportation for regional travel;
• Experience and training in various therapeutic areas is an asset;
• Typically requires a minimum of three (3) to five (5) years of experience in third-party reimbursement, public or private, or in the pharmaceutical industry in sales, care management, or clinical support.