Field Case Manager Jobs in Alberta (NOW HIRING)

JOB SUMMARY
The Field Nurse Case Manager (FNCM) will play an essential role in supporting patients living with an immunology disease to improve both their health outcomes and quality of life. FNCM offers enrolment and reimbursement support to physicians and medical case management services to patients. Assist the physician with the completion of all program-specific paperwork and follow-up on submissions pertaining to obtaining drug reimbursement/coverage through private and provincial drug formularies to ensure patients have access to their prescribed treatments in a timely manner. Act as a key resource to physicians who are prescribing this medication and continuous support for renewals, and coverage changes.
DUTIES AND RESPONSIBILITIES
Assist the prescribing physician to complete patient enrolment; including on-site visits to the physician's office to gather all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner
Proactively offers support and advocacy to patients and HCP
Visits prescribers in their assigned area to assist with paperwork in office as required 
Review patient charts to gather all pertinent and appropriate information to complete necessary reimbursement forms in a concise, organized and professional manner
Actively establish and strengthen relationships with HCP within assigned region through on site and virtual visits
Accountable for conducting physician site visits across diverse geographical territories
Assist in completing patient enrolment; including gathering all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner
Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options
Ensure patients are scheduled for necessary diagnostic tests and notify physicians of any expired test results that require follow-ups
Complete Welcome Call activities with the patient according to defined scripts
Provide patients and physicians with direct toll-free number
Review post visit reports to confirm next appointment is scheduled and data integrity of the report against the physician order, if applicable 
Track missing post visit reports, if applicable 
Facilitate any required communication with physicians, Patient Support Programs, or other health care professionals involved in the patient's circle of care
Follow up/advocate until a decision is received, ideally securing coverage for the patient, if applicable 
Work closely with the manufacturer local sales representatives to support specific physician's and staff needs, if applicable 
Offer and/or provide educational training to patients and physicians on product(s)
Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics
Coordinate and schedule patients at appropriate visit locations (home, clinic, etc.), if applicable
Provide updates to internal and external stakeholders based on observations
Ensure patient records are maintained and data-accurate to meet program reporting requirements
Ensure timely and compliant reporting of Adverse Events (AEs) and Product Quality Complaints (PQCs) in accordance with Health Canada pharmacovigilance requirements and guidelines, including accurate documentation, appropriate escalation, and effective collaboration with internal stakeholders and regulatory teams.
Participate in quality activities and continuous improvement initiatives in keeping with the company's Quality Management System as well as specific performance indicators for the project
Maintain confidentiality of pharmaceutical partner(s) and corporate information and discuss same only with appropriate Bayshore personnel
Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore's policy, if applicable
Complete product complaint reports
Adhere to Bayshore and manufacturer Policies and Procedures
Complete other tasks, as requested

QUALIFICATIONS
EDUCATION
Graduate of Registered Nursing Program or Registered/Licensed Practical Nursing program holding current registration from a provincial licensing body in Canada.
EXPERIENCE
Registered and in good standing with their provincial regulatory body
Minimum 2 years' experience in Patient Support Programs or equivalent 
Demonstrated expertise in delivering exceptional customer service and fostering positive relationships with internal and external stakeholders 
Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet use
Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset
Strong critical thinking and problem-solving skills
Accurate data collection and integrity 
Ease with working in a paperless environment 
Proven ability to work in a team environment 
Ability to resolve conflict in a professional manner
Strong sense of organization and attention to detail
Self-regulation of time management and the ability to multi-task and adhere to deadlines
Familiarity with PIPEDA and how it applies in a confidential patient environment 
Ability to work in a quiet working environment with proven ability to work autonomously within a remote/virtual team environment
Established high speed internet access from home office
Possession of a valid driver's license, with the capability and willingness to travel extensively across assigned territories, utilizing reliable personal transportation