Field Case Manager

Accountabilities:

• • Customize patient support program elements to meet the needs of assigned prescribing physicians, clinics, and patients.
  • Review patient information and medical records to support enrollment and completion of public and private payer documentation.
  • Identify reimbursement barriers and escalate relevant issues to the Program Manager.
  • Build strong relationships with physicians and clinic staff, providing ongoing support and training on program processes and approved initiatives.
  • Welcome patients into the program, collect required information, explain reimbursement guidelines, and coordinate access to therapy.
  • Navigate public and private reimbursement processes, including special authorizations, appeals, financial assistance, and coverage coordination.
  • Coordinate pharmacy selection, medication delivery, therapy initiation, and ongoing treatment status as required by the program.
  • Maintain communication with patients and healthcare providers while directing clinical questions or situations outside program scope to the appropriate healthcare professional.
  • Report adverse and serious adverse events according to established program procedures.
  • Provide mentorship, training, and peer support to other Field Case Managers and contribute to a positive team environment.
  • Participate in physician meetings, continuing medical education events, and educational presentations alongside pharmaceutical representatives.
  • Provide ongoing field feedback to program leadership regarding service quality, training needs, physician feedback, and opportunities for improvement.
  • Maintain accurate documentation and complete required reports, expenses, mileage records, timesheets, and other program documentation within established timelines.
  • Support additional duties and responsibilities as required, including standby or on-call coverage when applicable.

  Requirements

  • Bachelor’s degree in healthcare or a related discipline, or a nursing diploma.
  • Active registration as an RN or RPN/LPN with the applicable provincial College of Nurses is required.
  • Minimum of 5 years of experience in healthcare, pharmaceuticals, insurance, or a related industry.
  • At least 3 years of nursing experience in a clinical setting is considered an asset.
  • Previous case management experience is preferred.
  • Experience with reimbursement navigation, special authorization processes, appeals, and field-based reimbursement support.
  • Knowledge of public and private healthcare reimbursement structures, systems, and processes.
  • Strong analytical skills, including the ability to interpret relevant regulations and legislation.
  • Experience across multiple therapeutic areas is an asset.
  • Pharmaceutical business administration, sales, or marketing experience is an asset.
  • Strong communication and relationship-building skills, with the ability to work effectively with patients, physicians, clinic staff, peers, and cross-functional teams.
  • Fluency in both French and English is required, including the ability to communicate with unilingual English-speaking customers, patients, and colleagues.
  • Ability to travel throughout an assigned territory, including occasional overnight travel.
  • Valid driver’s license, current auto insurance, and reliable access to transportation are required.
  • Strong organizational skills, attention to detail, empathy, professionalism, and the ability to manage multiple priorities independently.

  Benefits

  • Full-time employment.
  • Competitive salary range of CAD $66,352–$132,704, depending on experience and qualifications.
  • Medical, dental, and vision benefits.
  • Comprehensive wellness support covering physical, emotional, financial, and social wellbeing.
  • Family-oriented benefits that may include backup dependent care, adoption assistance, infertility coverage, family-building support, behavioral health resources, paid parental leave, and paid caregiver leave.
  • Training and professional development programs.
  • Mentorship opportunities and employee resource groups.
  • Opportunities to participate in volunteer activities and community initiatives.
  • Field-based work with opportunities to build relationships across healthcare and pharmaceutical environments.
  • Inclusive and accessible workplace with reasonable accommodations available throughout the recruitment and employment process.