Field Case Manager at Specialty Health Network Inc
Calgary, AB T2E 7A3, Canada -
Full Time


Start Date

Immediate

Expiry Date

26 Jul, 25

Salary

0.0

Posted On

26 Apr, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Pharmaceuticals

Description

LOCATION:

32 Avenue NE, Calgary, Alberta, T2E 7A3
At Shoppers Drug Mart, we’re innovating health and wellness in Canada. From prescriptions to walk-in clinics, and a beloved loyalty program, we’re caring and supporting our customers in new ways every day.
With more than 1,300 locally owned and operated stores from coast to coast, the Shoppers Drug Mart network is more than a great place to shop, it’s a great place to work. We’re committed to building our talented team who champion collaboration, kindness and inclusivity. Join our team, and help recognize a healthy future for your career and for all Canadians.

Responsibilities

WHAT YOU WILL DO:

  • Assist the health care practitioner (HCP) in completing the Program enrolment form, as applicable
  • Educate the HCP on the Program enrolment requirements
  • Gather patient Program enrolment required information (physician signature, patient contact information, and product information)
  • Provide reimbursement assistance to patients and physicians according to need
  • Provide physicians with payer documentation support
  • Investigate case-by-case reimbursement options, channels, procedures, and prepares documentation in support of reimbursement requests
  • Determine patients’ channels and eligibility for reimbursement and provides assistance at all levels
  • Review patient status and assists the prescribing physician to populate Special Authorization forms (SA) for public or private coverage by reviewing patient charts, assessing previous therapies and test results in order to complete the SA. The above may be done on site, or remotely, as required
  • Ensure the coordination and follow up of SA submissions with payers
  • Support treating physician in the development of appeal letters, as required
  • Act as a resource for treating physicians and provides guidance regarding payer reimbursement criteria
  • Assist patients and physicians with the annual prescription renewal process
  • Assist patients and physicians with the SA renewal process (most commonly annually), as applicable
  • Identify obstacles and delays to obtaining coverage, take appropriate action and identify alternative channels for patient coverage
  • Management of patient files in the program database
  • Educate the HCP and patients regarding Program services by providing general Program and Product information based on SOPs, Product Monograph, approved verbatim and other approved materials
  • Review and discuss comprehensive program components, services and value-add program offerings
  • Act as a liaison and provide ongoing feedback to manufacturer based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance. Feedback and observations are channeled to the manufacturer as appropriate.
  • Collaborate with sales reps and associates according to guidance and guidelines
  • Attend scheduled educational events as required
  • Report Adverse Events /Severe Adverse Events (AE/SAEs) in accordance with established agreements
  • Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advancements
  • Assume responsibility for personal and professional learning and development
  • Other responsibilities as required by SDMSHN

TYPE OF ROLE:

Regular
Shoppers Drug Mart views diversity in Canada as a national pride and strength. Our priority is to reflect the growing diversity of our country through the people hired, our corporate culture and our products. Accommodations are available upon request for people living with disabilities during the recruitment, assessment, and post-employment process.
In addition, we believe in the importance of complying with the law. Compliance with laws is part of our Code of Conduct, which outlines the expectations of our customers and stakeholders of us.
Infirmière gestionnaire de cas sur le terrain (FCM) - Alberta
Pourquoi travailler au Specialty Health Network?
Specialty Health Network (ou SSPSM, comme nous nous appelons nous-mêmes) est une division en pleine croissance de Shoppers Drug Mart, avec un fort esprit d’entreprise. Nous sommes fiers d’avoir une culture de travail géniale et un environnement amusant! Nous offrons des salaires compétitifs, un excellent ensemble d’avantages sociaux, un rabais Shoppers Drug Mart, un rabais goodlife gym, des REER / régimes de retraite, un régime d’actionnariat des employés, une formation et un développement professionnels et bien d’autres avantages!
Shoppers Drug Mart a été acquise par Loblaw en 2014, le plus important employeur au Canada – ce qui rend vos possibilités de carrière au sein de notre grande organisation – infinies!

TYPE OF ROLE:

Regular
Shoppers Drug Mart Inc. recognizes Canada’s diversity as a source of national pride and strength. We have made it a priority to reflect our nation’s evolving diversity in the products we sell, the people we hire, and the culture we create in our organization. Accommodation is available upon request for applicants with disabilities in the recruitment and assessment process and when hired.
In addition, we believe that compliance with laws is about doing the right thing. Upholding the law is part of our Code of Conduct – it reinforces what our customers and stakeholders expect of us.

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