Field Case Manager

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!

What you will be doing

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;
• Reviewspatientstatusandassiststheprescribingphysiciantocompletepatientenrolment,prepareSpecial 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;

Completesallrelevantreports(programspecificreports,expenses, required standards.

Patient Support

• Welcomes each patient to the program and captures required patient information;
• Provides therapy guidelines to patients and physicians;
• Ensurespatientservicesarecoordinatedandtracked,accordingtoKPI’s,resultinginexpeditedaccessto therapy;
• CoordinatesprivateandpubliccoverageactivitydirectlywithinsurersfollowingprogramStandardOperating 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.

IdentifiesobstaclestoobtainingcoverageandchannelsthisinformationtotheProgramManagerand / 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.

Providestimely patient and clinic information as needed, through specific means used by the program.

Client Interface

• Participates in scheduled KOL physician meetings with Sales Representatives;
• Developsstrongworkingrelationshipswithphysiciansandphysicianofficestaff,providingadditionaloffice 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;

ProvidesinservicepresentationtoKOLphysiciansincollaborationwiththeSalesRepresentativesonnew 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 fieldandfeedbackfromcustomersasitpertainstoqualityofservices,training,andotherareasofimportance.

OngoingmaintenanceofcommunicationwithProgramManager,physicians,physicianofficestaff,client representatives, patients and nursing team as required;

Other

Completesallrelevantreports(timesheets,expenses,mileage, 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.

What your background should look like

EXPERIENCE AND EDUCATIONALREQUIREMENTS :

• RNorRPN;;RegistrationwiththeCollegeofNursesintheprovinceofemploymentisrequired;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 regionaltravel;
• Experience and background in various therapeutic areas is an asset;

Normallyrequiresaminimumoffive(5)yearsinpublicorprivatethirdpartyreimbursementarenaor 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 an asset

• Experiencewithreimbursementnavigation,specialauthorization,appealsprocessandconductingfield-based reimbursement support and consultation an asset;
• Strong analytical skills including interpretation of regulation and legislation an asset;

Fluency in French and / or English 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

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.

Schedule

Full time

Affiliated Companies :

Affiliated Companies : Innomar Strategies