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. Gestion de la pratique Veiller au respect des normes régitant les soins infirmiers de l’Ordre des infirmiers et infirmières

- Passer en revue l’état du patient et aider le médecin prescripteur à compléter »l’inscription des patients, à préparer les demandes d’autorisation spéciale (AS) pour l’assurance publique ou privée en examinant les dossiers des patients et en évaluant les thérapies et les tests précédents afin de remplir les demandes d’AS
- Évaluer de manière proactive les programmes et faire des suggestions pour améliorer les résultats et la qualité de service
- Coordonner l’activité de couverture d’assurance privée et publique directement avec les assureurs suivant les procédures opérationnelles normalisées
- Identifier les obstacles à l’obtention de la couverture d’assurance et transmettre ces renseignements au gestionnaire de programme et/ou au gestionnaire adjoint de programme
- Contribuer à la formation et au développement de nouveaux GCA au besoin Établir de solides relations de travail avec les médecins et le personnel de bureau, en fournissant un soutien administratif additionnel pour garantir la gestion harmonieuse des patients inscrits au programme, au besoin
- Assister aux événements planifiés de formation médicalecontinue et faire rapport des nouvelles activités
- Donner une formation aux médecins et aux cliniques sur le programme et les nouvelles initiatives approuvées par le client.
- Assurer la liaison et fournir une rétroaction continue au Programme d’aide aux patients en fonction des observations sur le terrain et des commentaires des clients en ce qui a trait à la qualité des services, la formation et autres aspects importants
- Assurer une communication continue avec le gestionnaire de programme, les médecins, le personnel de bureau, les représentants des clients, les patients et l’équipe des soins infirmiers, selon les besoins. Son travail peut exiger qu’il soit sur appel ou de garde.

Practice Management

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

- 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
- Patient Support (**Based on program design some Field Case Managers may have limited or no patient interactions) Coordinate private and public coverage activity between patient, physician and insurers
- Assist patient with pharmacy selection and coordinate drug delivery
- Assist patient with coordination of therapy and ongoing therapy status
- Refer the patient to contact their healthcare provider should the patient have clinical questions, assessments and situations that fall outside program provided materials or manufacturer product monograph
- Mentorship/Peer Support Assist in training and development of new FCM as needed
- Support and assist peers through regular and ongoing communication
- Develop and maintain a positive relationship with the Patient Support Program team
- Participate in scheduled physician meetings with Pharmaceutical team
- Attend scheduled Continuous Medical Education events and reports new activities
- Provide in service presentation to physicians in collaboration with the Pharmaceutical Representatives. Ongoing maintenance of communication with Program Manager, physicians, physician office staff, client representatives, patients and nursing team as required
- The Field Case Manager will also be assigned other duties and tasks as required from time to time. expérience en gestion de cas est préférable
- Disponible pour voyager à l’intérieur d’un territoire assigné, quelques voyages avec nuitées peuvent être nécessaires
- Permis de conduire valide, police d’assurance automobile courante, et accès à des moyens de transport fiables, pour les voyages régionaux
- Expérience et formation dans divers domaines thérapeutiques constitue un atout
- Exige normalement un minimum de trois (3) à cinq (5) ans d’expérience dans le domaine du remboursement par des tiers publics ou privés, ou de l’industrie pharmaceutique dans les ventes, la gestion des soins, ou le soutien clinique
- Antécédents en administration des affaires (pharmaceutique) en ventes et en marketing constitue un atout
- Connaissance de la structure,des systèmes etprocessus de remboursement public et privé
- Expérience de la navigation en vue d’obtenir un remboursement, du processus de demande autorisation spéciale, des procédures de recours, et de la prestation d’un soutien et de conseils en matière de remboursement sur le terrain
- Maîtrise du français et de l’anglais est requis.



Le candidat retenu aura avoir des contacts quotidiens avec des clients, des patients ou des pairs unilingues anglophones d’équipes interfonctionnelles. 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

- Fluency in French and English is required. The successful candidate will have daily contacts with unilingual English-speaking customers, patients or peers from cross-functional teams. #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 advantages 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. Full time Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements.

Accessibility

Policy

📌 Gestionnaire de cas sur le terrain, Bilingue - Bilingual Field Case Manager- Montreal, QC
🏢 Cencora
📍 Montreal