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Field Case Manager

Posted 8 days agoViewed

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📍 Location: Canada

🔍 Industry: Healthcare

🏢 Company: global

🗣️ Languages: English, French

🪄 Skills: Analytical SkillsCustomer serviceMicrosoft OfficeAttention to detailOrganizational skillsTime ManagementInterpersonal skillsAdaptability

Requirements:
  • Registered nurse (RN) required; related degree may be considered.
  • Experience in reimbursement, pharmaceutical sales, managed care, or clinical support is an asset.
  • Bilingualism is a requirement for the province of Quebec.
  • Previous case management experience is an asset.
  • Customer service and interpersonal skills are essential.
  • Ability to manage multiple tasks and comprehend medical terminology.
  • Strong analytical and organizational skills necessary.
  • Excellent time management and collaboration skills.
  • Effective communication in English and French is required for Quebec and New Brunswick.
  • Strong computer skills and knowledge of Microsoft Office are necessary.
  • Must have a valid driver’s license and a private home office.
Responsibilities:
  • Single point of contact for the program with physicians.
  • Educate physicians and/or their staff on various program services.
  • Provide therapy guidelines to manage physician expectations regarding reimbursement.
  • Consult patient charts to complete necessary paperwork for coverage.
  • Assist MDs in completing Special Authorization forms and other documentation.
  • Provide ongoing updates to physicians on their patients.
  • Customize current program elements to meet physician needs.
  • Identify areas for risk and foster proactive quality improvement.
  • Collaborate with team members to coordinate the patient journey.
  • Participate in physician meetings and attend Continuous Medical Education events.
  • Report adverse events and perform assigned ad hoc duties.
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