Field Case Manager contributing to patient management and reimbursement processes for healthcare solutions company. Delivering support while ensuring compliance and quality service measures throughout patient interactions.
Responsibilities
Practice management
Customize program elements to meet the needs of designated prescribing physicians
Ensure compliance with nursing standards set by the nursing regulatory authority
Review patient status and assist the prescribing physician with completing patient enrollment
Proactively evaluate programs and make recommendations to improve outcomes and service quality
Welcome each patient to the program and record required patient information
Provide treatment guidelines to patients and physicians
Ensure patient services are coordinated and monitored according to key performance indicators (KPIs)
Coordinate private and public insurance coverage activities directly with insurers
Report adverse events/serious adverse events in accordance with the program's standard operating procedures
Complete all relevant reports (timesheets, expenses, mileage, etc.) according to established deadlines.
Requirements
Registered Nurse (RN) or Registered Practical Nurse (RPN); registration with the College of Nurses of Ontario; case management experience preferred
Minimum of three (3) years of clinical experience is an asset
Available to travel within an assigned territory; occasional overnight travel may be required
BCLS (Basic Cardiac Life Support) certification may be required depending on the program's therapeutic area
Valid driver's license, current auto insurance, and access to reliable transportation for regional travel
Experience and training across various therapeutic areas is an asset
Knowledge of public and private reimbursement structures, systems, and processes
Fluency in French and English is required.
Benefits
We provide compensation, benefits, and resources that foster a highly inclusive culture and support our ability to live with purpose every day
In addition to traditional offerings such as medical, dental, and vision insurance, we also provide a comprehensive suite of benefits focused on physical, emotional, financial, and social well-being
This includes support for working families, which may include backup care for dependents, adoption assistance, fertility coverage, family-building support, behavioral health solutions, paid parental leave, and paid caregiver leave
To support your 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 more.
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