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Bayshore HealthCare – Nurse Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Thu, 28 Nov 2024 07:13:34 GMT

Job description: DUTIES AND RESPONSIBILITIES

  • Assist in completing patient enrolment; including gathering all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner.
  • Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options.
  • Ensure patients are scheduled for necessary diagnostic tests and notify physicians of any expired test results that require follow-ups.
  • Complete Welcome Call activities with the patient according to defined scripts.
  • Provide patients and physicians with direct toll-free number.
  • Review post visit reports to confirm next appointment is scheduled and data integrity of the report against the physician order, if applicable.
  • Track missing post visit reports, if applicable.
  • Facilitate any required communication with physicians, Patient Support Programs, or other health care professionals involved in the patient’s circle of care.
  • Follow up and advocate until a decision is received, ideally securing coverage for the patient, if applicable.
  • Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs, if applicable.
  • Offer and/or provide educational training to patients and physicians on product(s).
  • Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.
  • Coordinate and schedule patients at appropriate visit locations (home, clinic, etc.), if applicable.
  • Provide updates to internal and external stakeholders based on observations.
  • Ensure patient records are maintained and data-accurate to meet program reporting requirements.
  • Must be able to identify and report Adverse Events to Health Canada, Med Info, and enter into source system and third-party systems.
  • Report and document Adverse Events as per Pharmacovigilance requirements.
  • Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System as well as specific performance indicators for the project.
  • Maintain confidentiality of pharmaceutical partner(s) and corporate information and discuss same only with appropriate Bayshore personnel.
  • Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore’s policy, if applicable.
  • Complete product complaint reports.
  • Adhere to Bayshore and manufacturer Policies and Procedures.
  • Complete other tasks, as requested.

QualificationsQUALIFICATIONS

  • Graduate of Registered Nursing Program or Registered/Licensed Practical Nursing program holding current registration from a provincial licensing body in Canada.
  • Registered and in good standing with their provincial regulatory body.
  • Minimum 2 years’ experience in Patient Support Programs or equivalent.
  • Demonstrated expertise in delivering exceptional customer service and fostering positive relationships with internal and external stakeholders.
  • Must be fluent in verbal and written communication and interpersonal skills for both English and French (Applicable for provinces/regions with French language service requirements).
  • Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset.
  • Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet use.
  • Strong critical thinking and problem-solving skills.
  • Making decisions using sound judgment.
  • Proficient with accurate data collection and data integrity.
  • Ease with working in a paperless environment.
  • Ability to drive for results.
  • Proven ability to work in a team environment.
  • Ability to resolve conflict in a professional matter.
  • Strong sense of organization and attention to detail.
  • 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 in a quiet working environment with proven ability to work autonomously within a remote/virtual team environment.
  • Established high speed internet access from home office.

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