Healthcare Professional

3 weeks ago

Oregon City, Oregon, United States Innomar Strategies Full time
Job Summary

We are seeking a highly skilled and experienced Field Case Manager to join our team at Innomar Strategies. The successful candidate will be responsible for providing exceptional patient support and services to healthcare professionals and patients in the field.

Key Responsibilities
  • 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.
Requirements
  • A Bachelor's degree in health care or a related discipline, or a nurse diploma.
  • Requires a minimum five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience.
  • Licensed Nurse (RN or RPN/LPN) with active registration from the College of Nurses in the province of employment is required. Case management experience preferred; minimum three (3) years nursing experience in a clinic setting is an asset.
  • Available to travel within an assigned territory, some overnight travel may be required.
  • Valid Driver's License, current auto insurance policy and access to reliable transportation, for regional travel.
  • Experience and background in various therapeutic areas is an asset.
  • Background in business administration (pharmaceutical) sales and marketing an asset.
  • Knowledge of private and public reimbursement structure, systems, and process.
  • Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation.
  • Strong analytical skills including interpretation of regulation and legislation.
  • Fluency in French and/or English may be required depending on program and geographic location.
What We Offer

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.

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