Field Nurse Case Manager - Ontario

Driven by a bold pursuit of science and fueled by an unwavering commitment to patients, Sun Pharma is a leading global pharmaceutical company, providing high-quality medicines trusted by healthcare professionals and patients. As part of our mission to Reach People and Touch Lives, we deliver Innovative Medicines, Generics and Consumer Healthcare products that improve the lives of millions of people.

With a broadly diversified portfolio of products that span multiple therapeutic areas, we improve access to effective, affordable treatments that promote better health and well-being.

Job Purpose
The Field Nurse Case Manager (FNCM) will play an essential role in supporting patients living with a dermatological disease to improve both their health outcomes and quality of life. They will report to the Medical Director within the Medical Affairs department. FNCM will be accountable for day‑to‑day nursing and administrative operations of the patient support program (PSP) and general oversight within their assigned territory.

Duties and Responsibilities

Offer enrolment and reimbursement support to physicians and medical case management services to patients.

Assist the physician with completion of program‑specific paperwork and follow‑up on submissions for drug reimbursement/coverage through private and provincial drug formularies.

Act as a key resource to physicians prescribing this medication and provide continuous support for renewals and coverage changes.

Educate physicians and/or their staff on various PSP services.

Liaise with physicians’ offices, pharmacies, service providers and other parties to provide comprehensive and coordinated service and resolve issues as they arise.

Provide therapy guidelines to manage physician expectations with respect to reimbursement.

Assist MDs in completing Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation.

Provide ongoing support and updates to physicians about their patients.

Customize current program elements to meet the needs of assigned physicians: adjust based on in‑clinic and remote MD needs.

Provide product support.

Participate in scheduled physician meetings with Sun Pharma or PSP personnel.

Travel regularly to various physician offices.

Be responsible for defined key performance indicators within the given territory.

Act as a liaison between PSP and external clinical staff.

Participate in quality assurance activities and continuous improvement initiatives.

Provide in‑person and virtual support to internal and external stakeholders.

Work directly with PSP and clinic to secure funding for patient’s therapies.

Adhere to performance standards and procedures required by SUN and the PSP.

Additional Responsibility
Report any adverse event received from customers for company products to the pharmacovigilance department / Drug Safety on the same day or within 1 business day.

Qualifications

Graduate of a Registered Nursing Program and Registered/Licensed Practical Nursing program holding current registration for the province of Ontario required.

Minimum 2 years’ experience in Patient Support Programs or equivalent required.

Ability to engage with a physician and their staff as a trusted and well‑informed medical counterpart.

Ability to resolve conflict in a professional manner.

Strong sense of organization and attention to detail; accurate data collection.

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 autonomously within a remote/virtual team environment.

Adherence to performance standards and procedures required by the PSP (Patient Support Program).

Previous case‑manager experience or drug reimbursement navigation experience a plus.

Understanding of provincial and private coverage criteria, Special Authorization processes and navigation of the Canadian drug coverage landscape a plus.

Strong critical thinking and problem‑solving skills.

Strong computer and technical skills:
Excel, Word, Outlook, Tablets.

Must be fluent in verbal and written English;
French an asset but not mandatory.

Working Conditions

Field‑based…