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Field Case Manager - Southwestern Ontario in Oakville at Innomar Strategies

Date Posted: 10/31/2018

Job Snapshot

  • Employee Type:
  • Location:
  • Job Type:
  • Experience:
    Up to 3 year(s)
  • Date Posted:

Job Description

Under the direction of a District Manager, the Field Case Manager for the Program is responsible for managing all aspects of the program for assigned physicians in a given geographical area or hospital. The individual will work directly with the physicians and or the office staff to provide proactive and seamless services with respect to the program by accessing the ongoing needs of each MD/office such that the service levels provide a clear differentiating factor between this Program and other patients’ support programs. The resulting objective of this superior and proactive service will be to increase the patient program enrollment and improved patient outcomes. Knowledge in regional government payer policies, private payer policies and procedures is required. Regular travel to various HCP offices is a primary responsibility of the role. The FCM typically oversees large accounts inclusive of University settings and may cover rural and tertiary health centers as needed

  1. Be the single point of contact for the program with physicians
  2. Assist MDs in completing  Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation
  3. Provide ongoing updates to MDs on patient status
  4. Provide therapy guidelines to manage physician expectations with respect to reimbursement
  5. Work collaboratively with Personal Care Specialists, Wellness Case managers and Sales representatives
  6. Provide program service explanation to MDs and/or Office staff
  7. Promote the program with the marketing tools provided
  8. Customize current program elements to meet the needs of assigned physicians: adjust based on in clinic and remote MD needs.
  9. Work in the field and perform regular services calls with MD and/or Office staff
  10. Consult patient charts in order to effectively complete necessary paperwork to obtain coverage
  11. Follow up with MD to insure patient status updates are shared
  12. Responsible for providing customized monthly reports to physicians
  13. Accurate and timely patient charting in CRM
  14. Participate in scheduled physician meetings with Sales representatives
  15. Attends scheduled Continuous Medical Education events and reports new activities;
  16. Identify areas for risk and foster proactive, continued quality improvement.
  17. Proactively provides assistance to resolve client issues with regards to assigned physicians;
  18. Provides in service presentation to physicians
  19. Adhoc duties as assigned

Job Requirements

  • Registered nurse (RN) or Registered Practical Nurse (RPN)
  • Two (2) to three (3) years in public or private third party reimbursement arena or pharmaceutical sales experience, managed care, or clinical support, or related experience is preferred 
  • Previous Case Manager experience an asset
  • Basic CCPE an asset