CrawlJobs Logo

Field Case Manager

cencora.com Logo

Cencora

Location Icon

Location:
Canada , Victoria, BC ▼

Category Icon
Category:
Nursing

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

67600.00 - 103950.00 CAD / Year
Save Job
Save Icon
Apply Position

Job Responsibility:

  • Serves as the primary contact for physicians
  • Communicates with patient as needed and program stakeholders, building and maintaining trusted relationships in your designated area
  • Educates healthcare providers and their staff on program services, patient support resources, and help navigate therapy, reimbursement, and enrollment processes
  • Reviews patient charts and ensure completion of all required documentation, including special authorizations, enrollment forms, and prescription renewals
  • Takes full ownership of the special authorization process, ensuring timely, accurate submissions and expert guidance for reimbursement
  • Provides ongoing communication, updates, and guidance to physicians regarding patient status and any program changes or best practices
  • Adapts program elements to meet the unique needs of healthcare providers, personalize support for both in-clinic and remote care, and proactively identify and address areas for quality improvement
  • Other duties as assigned

Requirements:

  • Registered Nurse (RN) or related degree (BSc in Pharmacy or other Science degrees) or equivalent transferable skills
  • Knowledge of public or private third-party reimbursement arena
  • Exceptional customer service and interpersonal skills
  • Ability to manage multiple tasks and priorities at once
  • Comprehension of medical terminology
  • Strong analytical and organizational skills
  • Ability to engage with a physician and his/her staff as a trusted and well-informed medical counterpart
  • Excellent time management skills & sense of urgency
  • Ability to collaborate effectively with program associates
  • Ability to work autonomously in a remote setting
  • Ability to communicate effectively both orally and in writing and in both English and French (oral and written) for the Quebec and New Brunswick Provinces
  • Detail and results oriented
  • Ability to adapt to change and ambiguity
  • Strong computer skills and knowledge of Microsoft Office
  • Ability to attend Continuous Healthcare Education (CHE) events with HCPs, which may occur outside regular business hours
  • Hold and maintain a valid, non-expired, unrestricted driver’s license and possess a car
  • Adhere to Performance Standards and Procedures required by the program
  • Must have a private, dedicated home office space that accommodates equipment supplied by Innomar Strategies

Nice to have:

  • Bilingualism is an asset (requirement for province of Quebec)
  • Previous Case Manager experience is an asset
What we offer:
  • Medical, dental, and vision care
  • Comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
  • 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
  • Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Additional Information:

Job Posted:
February 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Icon
Cencora - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Field Case Manager

Case Manager

Blue Star Homecare is a leading provider of in home lifestyle and social support...
Location
Location
Australia , Melbourne
Salary
Salary:
Not provided
bluestarhomecare.org Logo
Blue Star Homecare
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Excellent interpersonal communication, networking and negotiation skills
  • An ability to take the initiative, prioritise, delegate and organise activities
  • Knowledge of NDIS Care Plans, community resources and service networks for older Australians and their carers
  • Minimum 2 years Experience with person centred care planning processes, including assessment and establishing client goals
  • Experience managing client budgets, being responsive and accountable for time sensitive tasks
  • Ability to work with set KPIs and achieve targets
  • Experience in the Microsoft Office suite and exposure and/or ability and confidence to acquire skills for in-house client database systems
  • Tertiary qualifications in allied health, social science, health/welfare discipline, or a related field
  • In the absence of completed tertiary qualifications, experience in the delivery of person-centred practices in non complex and/or complex case management and/or demonstrated experience with complex service oriented offerings in Disability services
  • All appointments are made subject to a satisfactory National Police Check conducted by Blue Star Homecare and a valid Working with Children Check provided by the applicant, as requested
Job Responsibility
Job Responsibility
  • Review intake information engage new clients, establishing the home care agreement, care plan, budget and connect the client with services and supports
  • Work mobile, conducting client visits as needed, practicing person centred care planning, providing independent advice and guidance to clients and their families
  • Work collaboratively with clients, their carers and representatives, ensuring their ongoing needs and preferences supported, to live independently at home
  • Liaise with Blue Star Homecare employees, stakeholders, partnered service providers on behalf of the client and Blue Star Homecare
  • Conduct annual reviews for all clients, revising their care plan, goals, services and budget expenditure
  • Ensure operations are conducted ethically, fairly and within the statutory legal and contractual requirements
  • Attendance at our Head Office for training and team meetings
What we offer
What we offer
  • Flexible working arrangements – WFH
  • Competitive salary to match your experience
  • Fulltime
Read More
Arrow Right

Go Case Manager

The Growth Opportunity (GO) Case Manager will play a crucial role in supporting ...
Location
Location
United States , Chicago
Salary
Salary:
48000.00 - 52000.00 USD / Year
chiul.org Logo
Chicago Urban League
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s Degree in Human Services, Counseling, Social Work, Psychology or Similar Field preferred
  • 2-3 years of experience working with young adults ages 18-26 required
  • 1-2 years of group facilitation experience required
  • Experience in the area of: teaching, training and Workforce Development a plus
Job Responsibility
Job Responsibility
  • Develop and facilitate career readiness training curricula
  • Conduct comprehensive intake interviews to assess participants’ needs, goals, strengths, and eligibility
  • Lead on-site and off-site special projects and training as requested by the Program Manager
  • Develop Individualized Career Plans (ICP) tailored to each participant’s goals
  • Manage Customer Relationship Management (CRM) databases (i.e. RiseKit, REO GPMS, etc.)
  • Outsource industry leaders, community advocates, and employers to serve as guest speakers
  • Actively engage with community organizations and youth-serving agencies to identify potential participants
  • Build strong relationships with participants, teammates, student interns, and community partners
  • Maintain open and professional communication with participants, teammates, funding sources, employer partners, community partners, and direct supervisor
  • Maintain accurate records of participant attendance, paperwork, coursework, and other relevant documentation
What we offer
What we offer
  • 401K plan
  • Fulltime
Read More
Arrow Right

Case Management Specialist

AwePlus is working with a global legal technology application firm seeking custo...
Location
Location
Malaysia , Kuala Lumpur
Salary
Salary:
4000.00 - 6000.00 RM / Month
aweplus.com Logo
Aweplus Australia Pty Ltd
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's degree
  • Strong attention to detail and great time management
  • Strong English reading and writing skills (MUET Band 4 or IELTS 7.5 and above)
  • Proficiency in Mandarin (reading and writing), able to read application materials written in Mandarin Chinese is an added advantage
  • High degree of self-motivation and ability to work independently under tight deadlines
  • Ability to work in a fast-paced environment to manage complex and dynamic demands
  • At least 2 years of experience in customer service/client management/paralegal/auditing (or related fields)
Job Responsibility
Job Responsibility
  • Evaluate client background and provide suggestions that best fit individual client's needs and goals before processing their cases
  • Review multiple types of documents and evidence and provide instruction and feedback
  • Reply to client messages regarding their application materials and timeline
  • Assist in assembling and reorganizing documentation tasks per various case requirements
What we offer
What we offer
  • 10 annual paid leave plus 11 holidays
  • 0.5- 1.0 month salary as yearly performance bonus
  • Opportunities for promotion
  • Fulltime
Read More
Arrow Right

Associate Director, Case Management Systems

In this role, you will hold a pivotal position to ensure our technology solution...
Location
Location
United States , New York
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 7 years of detail oriented experience in a non-profit or similar organization
  • Proven expertise in CRM and ERP - Enterprise Resource Planning
  • Proficient in implementing and managing ERP Solutions
  • Strong background in Application Development
  • Comprehensive understanding of SDLC - Software Development Life Cycle
  • Demonstrated ability to lead and manage a team
  • Excellent communication and interpersonal skills
  • Bachelor's degree in Information Technology, Computer Science, or a relevant field
  • Strong problem-solving skills and the ability to make decisions under pressure
  • Ability to work collaboratively with other departments to achieve organizational goals
Job Responsibility
Job Responsibility
  • Lead the design, implementation, and support of case management systems and other enterprise applications across the organization
  • Develop a strategic vision for the case management systems and enterprise applications to align with the organization's mission and operational goals
  • Collaborate with senior leadership, program directors, and departmental stakeholders to assess needs and recommend tailored solutions
  • Oversee the selection, implementation, and ongoing management of case management systems and other enterprise applications
  • Identify opportunities for process automation, systems integration, and improvements to maximize system functionality and user experience
  • Supervise and build capacity within the case management systems and enterprise applications team
  • Plan and manage projects related to case management and enterprise applications, including timelines, budgets, and deliverables
  • Ensure systems provide robust reporting capabilities to support performance measurement, grant compliance, and program evaluation
  • Act as the liaison between technical teams, program staff, and organizational leadership to bridge communication and align objectives
  • Build and maintain relationships with vendors, consultants, and technology partners
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • eligibility to enroll in company 401(k) plan
  • Fulltime
Read More
Arrow Right

Integrated Care Manager

Responsible for promoting continuity of care through a collaborative process tha...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2 year(s) of experience in full-time equivalent of direct clinical care to the consumer
  • Associate’s Degree in general field of study or Post High School Nursing Diploma or Master’s Degree in a behavioral health field of study (i.e., MSW, MA, MS, M.Ed.), Ph.D. or Psy.D
  • Active, current, and unrestricted license to practice in the State of Arizona (or an endorsement to work in Arizona) as a behavioral health professional such as LCSW, LPC, LISAC LMFT, or licensed psychologist (Psy.D. or Ph.D.), OR an active, current, and unrestricted license to practice nursing in either the State of Arizona or another state in the United States recognized by the Nursing Licensure Compact (NLC) as an RN
  • Within 4 years of hire as a Care Manager employee must hold a certification in case management from the following certifications
  • Certified Case Manager (CCM), Certified Disability Management Specialist (CDMS), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC).
Job Responsibility
Job Responsibility
  • Assess and collect data related to the member from all care settings. Interview and collaborate with case-related providers, member and family to implement the care plan
  • Answer a diverse and high volume of health insurance related customer calls on a daily basis
  • Explain to customers a variety of information concerning the organization’s services, including but not limited to, contract benefits, changes in coverage, eligibility, claims, BCBSAZ programs, provider networks, etc
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of benefit requests
  • Present status reports on all cases to the manager/supervisor and, when indicated, to the medical director
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines
  • Maintain all standards in consideration of state, federal, BCBSAZ, URAC, and other accreditation requirements
  • Maintain complete and accurate records per department policy
  • Demonstrate ability to apply plan policies and procedures effectively
  • Fulltime
Read More
Arrow Right

Case Specialist

The Case Specialist will play a key role in providing direct support and advocac...
Location
Location
United States , San Diego
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Fluency in Farsi, Dari, and Pashto (spoken and written)
  • Bachelor’s degree in Social Work, Human Services, Psychology, or a related field (preferred)
  • 2+ years of experience in case management, client advocacy, or a related field, preferably in a nonprofit setting
  • Strong interpersonal, organizational, and problem-solving skills
  • Proficiency in case management software and Microsoft Office Suite
  • Ability to navigate sensitive cultural contexts with empathy and respect
Job Responsibility
Job Responsibility
  • Conduct client intakes, needs assessments, and develop personalized service plans
  • Provide one-on-one case management and ongoing support to Farsi, Dari, and Pashto-speaking clients
  • Advocate for clients' access to healthcare, housing, legal aid, employment, and educational resources
  • Build and maintain relationships with community organizations, government agencies, and service providers
  • Connect clients with appropriate resources and assist in navigating application processes
  • Accurately document client interactions, service plans, and progress notes in the case management system
  • Prepare reports for internal tracking and external reporting requirements
  • Use fluency in Farsi, Dari, and Pashto to provide sensitive, clear communication
  • Educate clients on available services and their rights in culturally appropriate ways
  • Participate in community outreach efforts to raise awareness of the organization’s programs
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Eligibility to enroll in company 401(k) plan
  • Fulltime
Read More
Arrow Right

Medical Appeals/Grievance Specialist II - Registered Nurse

Responsible for utilizing clinical acumen and managed care expertise related to ...
Location
Location
United States , Phoenix
Salary
Salary:
Not provided
azblue.com Logo
Blue Cross Blue Shield of Arizona
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 1 year experience in clinical and health insurance or other healthcare related field
  • 3 years experience in clinical and health insurance or other healthcare related field AND 1 year Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
  • 5 years experience in clinical and health insurance or other healthcare related field AND 2 years Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
  • 8 years experience in clinical and health insurance or other healthcare related field AND 3 years above satisfactory job performance in the managed care environment with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG)
  • Associate’s Degree in a healthcare field of study or Nursing Diploma
  • Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) or a compact state as a Registered Nurse (RN), a Physical Therapist (PT) or a Licensed Master Social Worker LMSW.
  • Intermediate PC proficiency
  • Intermediate skill using office equipment, including copiers, fax machines, scanner and telephones
  • Maintain confidentiality and privacy
  • Advanced clinical knowledge
Job Responsibility
Job Responsibility
  • Perform in-depth analysis, clinical review and resolution of provider appeals/inquiries, corrected claims and subscriber reconsiderations, member appeals, corrected claims and provider grievances for all lines of business
  • Identify, research, process, resolve and respond to customer inquiries primarily through written / verbal communication.
  • Respond to a diverse and high volume of health insurance appeal related correspondence on a daily basis.
  • Analyze medical records and apply medical necessity criteria and benefit plan requirements to determine the appropriateness of appeal, grievance and reconsideration requests.
  • Maintain complete and accurate records per department policy.
  • Meet quality, quantity and timeliness standards to achieve individual and department performance goals as defined within the department guidelines and required by State, Federal and other accrediting organizations.
  • Demonstrate ability to apply plan policies and procedures effectively.
  • Consult and coordinate with various internal departments, external plans, providers, businesses, and government agencies to obtain information and ensure resolution of customer inquiries.
  • Attend staff and interdepartmental meetings.
  • Participate in continuing education and current developments in the fields of medicine and managed care.
  • Fulltime
Read More
Arrow Right

Paralegal

We are seeking a Paralegal to join our team in Walnut Creek, California. This ro...
Location
Location
United States , Walnut Creek
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 3 years of experience in the paralegal field specializing in general liability litigation
  • Proficient in using Adobe Acrobat for document handling and editing
  • Experience with Case Management Software for organizing and managing legal cases
  • Familiarity with LexisNexis for legal research and case preparation
  • Proficient in using a Management System for coordinating and overseeing tasks
  • Strong skills in Microsoft Excel for data management and analysis
  • Experience with Billing Functions within a legal environment
  • Ability to conduct Briefing sessions and convey legal information effectively
  • Experience with Calendar Management for scheduling appointments and deadlines
  • Skilled in Claim Administration, including claim filing and follow-up
Job Responsibility
Job Responsibility
  • Handle all aspects of litigation, including filing lawsuits, preparing legal documents, and managing court proceedings
  • Utilize case management software to effectively handle all cases
  • Use LexisNexis for legal research and to stay current on relevant laws and regulations
  • Create and manage Excel spreadsheets to track case progression and client information
  • Oversee billing functions to ensure all legal services are accurately billed and collected
  • Draft and prepare legal briefings for review by attorneys
  • Manage calendars and schedule meetings, court dates, and other important events
  • Administer claims and handle all aspects of complaint resolution
  • Utilize Adobe Acrobat for document management purposes
  • Ensure all actions taken in carrying out responsibilities support the goal of providing excellent client service.
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • Eligibility to enroll in the company 401(k) plan
  • Free online training
  • Access to top jobs
  • Competitive compensation.
  • Fulltime
Read More
Arrow Right
Jobs by Category
Art and Entertainment Jobs Banking Jobs Call Center Jobs Construction Jobs Consulting Jobs Customer Service Jobs Education Jobs Energy Jobs Finance Jobs Gastronomy Jobs Health and Beauty Jobs Hospitality and Tourism Jobs Human Resources Jobs Insurance Jobs IT - Administration Jobs IT - Software Development Jobs Legal Jobs Logistics Jobs Manufacturing Jobs Marketing, Digital Marketing, SEO, SEM Jobs Media Jobs Nursing Jobs Office Administration Jobs Pharmacy Jobs Physical Work Jobs Public Relations Jobs Public Sector Jobs Purchasing Jobs Quality Control Jobs Real Estate Jobs Research and Development Jobs Sales Jobs
Job Positions Jobs by Country
United States Jobs United Kingdom Jobs India Jobs Canada Jobs Australia Jobs Germany Jobs Ireland Jobs Poland Jobs
Company
Blog About Us Contact
Follow Us
Facebook
X (Twitter)
LinkedIn
Instagram
CrawlJobs Group
ITFlashcards AllDevBlogs
© 2026 CrawlJobs Ltd. All Rights Reserved
Terms & Conditions Privacy Policy