Bayshore HealthCare – Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Sun, 13 Apr 2025 02:03:45 GMT

Job description: JOB SUMMARY
The Case Manager (CM) is expert point of contact offering case management support services to
patients and physicians. The CM will assist the patients, physicians, and nurses with the completion
of all program-specific paperwork. The CM will act as a resource to physicians who are prescribing
medications and patients who need on-going support. They are instrumental in removing any
reimbursement access barriers to treatment for patients, thereby ensuring that they can start on
therapy as quickly as possible. They thrive in an environment that emphasizes teamwork and
accountability, possesses a deep willingness to serve customers, and drives positive customer
experiences in a fast‐paced work environment while showing flexibility to adapt to competing
demands across the portfolio as required.DUTIES AND RESPONSIBILITIES

  • Ensure patient has been enrolled in the patient support program (PSP). Set the tone for a

warm welcome into the program.

  • Provide direct telephone assistance to patients requiring reimbursement support.
  • Provide patients and physicians with direct toll-free number
  • Develop strong relationships with patients, caregivers, and their healthcare team by infusing

confidence, trust, security, and relief.

  • Facilitate a patient’s access to a particular medication by offering reimbursement navigation

services.

  • Investigate reimbursement options available to the patient and maximize the patient’s

coverage via private and public payers, while minimizing the financial assistance offered
through the PSP and/or out-of-pocket expenses for the patient.

  • Represent the patient with private or public insurers to optimize drug coverage and assist

with the completion of Special Authorization (SA) and/or Prior Authorization (PA) forms,
when applicable.

  • Coordinate with pharmacy drug coverage and dispensing. Troubleshoot any filling/billing

issues as required

  • Liaise with PSP team to ensure optimal patient support and communication, if applicable
  • Maintain ongoing and transparent communication with the patient’s healthcare team.
  • Diligent record-keeping to ensure continuous care and exceptional customer and patient

experience.

  • Uncover and proactively identify gaps and opportunities for improvement in patient

experience.

  • Through patient-oriented solutions, manage challenging patient situations with empathy

and patience.

  • Work with the site representatives to support specific customer needs.
  • Act as a central resource liaison for program stakeholders, which include physicians, nurses,

patients, and clinics.

  • Provide updates to internal and external stakeholders as requested and required.
  • Perform data entry, answer inbound calls, make outbound calls, manage e-mail and fax

software, and perform general administrative functions including faxing and filing.

  • Must be able to identify and report Adverse Events to Health Canada and enter into source

system and third-party systems, as applicable

  • Report and document adverse events as per pharmacovigilance requirements.
  • Participate in ongoing internal and/or external continuing education activities.
  • Adhere to Bayshore Policies and Procedures.
  • 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.

  • Participate in proactive Health & Safety activities while performing all duties. Is responsible

to notify immediate supervisor of any Health & Safety risks or concerns.

  • Maintains confidentiality of pharmaceutical partner(s) and corporate information and

discusses same only with appropriate Bayshore personnel.

  • Complete other tasks as requested.

QualificationsQUALIFICATIONS

  • Completion of post-secondary education or equivalent.
  • Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset
  • 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)
  • Experience in the healthcare, pharmaceutical, or insurance industry would be an asset
  • Strong customer service, communication, problem-solving and interpersonal skills required.
  • Demonstrates sensitivity and commitment to utilizing a patient-centric approach; is adept

to responding to a patient’s emotional, educational, and health literacy needs

  • Making decisions using sound judgment, and meeting deadlines.
  • Ease of working in a paperless environment.
  • Mindful of accuracy and thoroughness of data entry for reporting requirements.
  • Strong sense of organization, attention to detail, and ability to multi-task.
  • Excellent written and verbal communication and interpersonal skills.
  • Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet

use

  • 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.
  • Flexibility to adapt and learn multiple programs based on demand.

Bayshore HealthCare – Nurse Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Thu, 03 Apr 2025 00:49:11 GMT

Job description: JOB SUMMARY
The Nurse Case Manager (NCM) will play an essential role in supporting patients living
with HIV disease to improve both their health outcomes and quality of life. NCM offers
enrolment and reimbursement support to physicians and to patients. Assist the physician
with the completion of all program-specific paperwork and follow-up on submissions
pertaining to obtaining drug reimbursement/coverage through private and provincial drug
formularies to ensure patients have access to their prescribed treatments in a timely
manner. Act as a key resource to physicians who are prescribing this medication and
continuous support for renewals, and coverage changes. NCM will also supervise the
coordination of monthly injection.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

QualificationsQUALIFICATIONSEDUCATION
Graduate of Registered Nursing Program or Registered/Licensed Practical Nursing program holding current registration from a provincial licensing body in Canada.EXPERIENCE

  • 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.

Bayshore HealthCare – Nurse Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Thu, 03 Apr 2025 06:00:37 GMT

Job description: JOB SUMMARYThe Nurse Case Manager (NCM) will play an essential role in supporting patients living
with HIV disease to improve both their health outcomes and quality of life. NCM offers
enrolment and reimbursement support to physicians and to patients. Assist the physician
with the completion of all program-specific paperwork and follow-up on submissions
pertaining to obtaining drug reimbursement/coverage through private and provincial drug
formularies to ensure patients have access to their prescribed treatments in a timely
manner. Act as a key resource to physicians who are prescribing this medication and
continuous support for renewals, and coverage changes. NCM will also supervise the
coordination of monthly injection.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

QualificationsQUALIFICATIONSEDUCATION
Graduate of Registered Nursing Program or Registered/Licensed Practical
Nursing program holding current registration from a provincial licensing body in
Canada.EXPERIENCE

  • 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.

Bayshore HealthCare – Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Sun, 30 Mar 2025 03:30:31 GMT

Job description: JOB SUMMARY
The Case Manager (CM) is expert point of contact offering case management support services to
patients and physicians. The CM will assist the patients, physicians, and nurses with the completion
of all program-specific paperwork. The CM will act as a resource to physicians who are prescribing
medications and patients who need on-going support. They are instrumental in removing any
reimbursement access barriers to treatment for patients, thereby ensuring that they can start on
therapy as quickly as possible. They thrive in an environment that emphasizes teamwork and
accountability, possesses a deep willingness to serve customers, and drives positive customer
experiences in a fast‐paced work environment while showing flexibility to adapt to competing
demands across the portfolio as required.DUTIES AND RESPONSIBILITIES

  • Ensure patient has been enrolled in the patient support program (PSP). Set the tone for a

warm welcome into the program.

  • Provide direct telephone assistance to patients requiring reimbursement support.
  • Provide patients and physicians with direct toll-free number
  • Develop strong relationships with patients, caregivers, and their healthcare team by infusing

confidence, trust, security, and relief.

  • Facilitate a patient’s access to a particular medication by offering reimbursement navigation

services.

  • Investigate reimbursement options available to the patient and maximize the patient’s

coverage via private and public payers, while minimizing the financial assistance offered
through the PSP and/or out-of-pocket expenses for the patient.

  • Represent the patient with private or public insurers to optimize drug coverage and assist

with the completion of Special Authorization (SA) and/or Prior Authorization (PA) forms,
when applicable.

  • Coordinate with pharmacy drug coverage and dispensing. Troubleshoot any filling/billing

issues as required

  • Liaise with PSP team to ensure optimal patient support and communication, if applicable
  • Maintain ongoing and transparent communication with the patient’s healthcare team.
  • Diligent record-keeping to ensure continuous care and exceptional customer and patient

experience.

  • Uncover and proactively identify gaps and opportunities for improvement in patient

experience.

  • Through patient-oriented solutions, manage challenging patient situations with empathy

and patience.

  • Work with the site representatives to support specific customer needs.
  • Act as a central resource liaison for program stakeholders, which include physicians, nurses,

patients, and clinics.

  • Provide updates to internal and external stakeholders as requested and required.
  • Perform data entry, answer inbound calls, make outbound calls, manage e-mail and fax

software, and perform general administrative functions including faxing and filing.

  • Must be able to identify and report Adverse Events to Health Canada and enter into source

system and third-party systems, as applicable

  • Report and document adverse events as per pharmacovigilance requirements.
  • Participate in ongoing internal and/or external continuing education activities.
  • Adhere to Bayshore Policies and Procedures.
  • 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.

  • Participate in proactive Health & Safety activities while performing all duties. Is responsible

to notify immediate supervisor of any Health & Safety risks or concerns.

  • Maintains confidentiality of pharmaceutical partner(s) and corporate information and

discusses same only with appropriate Bayshore personnel.

  • Complete other tasks as requested.

QualificationsQUALIFICATIONS

  • Completion of post-secondary education or equivalent.
  • Understanding of provincial and private coverage criteria, Special Authorization processes

and how to navigate the Canadian drug coverage landscape is an asset

  • 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)

  • Experience in the healthcare, pharmaceutical, or insurance industry would be an asset
  • Strong customer service, communication, problem-solving and interpersonal skills required.
  • Demonstrates sensitivity and commitment to utilizing a patient-centric approach; is adept

to responding to a patient’s emotional, educational, and health literacy needs

  • Making decisions using sound judgment, and meeting deadlines.
  • Ease of working in a paperless environment.
  • Mindful of accuracy and thoroughness of data entry for reporting requirements.
  • Strong sense of organization, attention to detail, and ability to multi-task.
  • Excellent written and verbal communication and interpersonal skills.
  • Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internetuse
  • 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.
  • Flexibility to adapt and learn multiple programs based on demand.

Bayshore HealthCare – Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Sun, 09 Mar 2025 04:11:07 GMT

Job description: JOB SUMMARYTo be an expert point of contact offering case management support services to patients. Assist the patients, physicians, and nurses with the completion of all program-specific paperwork. Act as a resource to physicians who are prescribing medications and patients who need on-going support. The Case Manager is instrumental in removing any reimbursement access barriers to treatment for patients, thereby ensuring that they can start on therapy as quickly as possible. This position reports into the Associate Program Manager. The Case Manager thrives in an environment that emphasizes teamwork and accountability, possesses a deep willingness to serve customers, and drives positive customer experiences in a fast‐paced work environment. You can be based anywhere in Canada as this is a work from home position.DUTIES AND RESPONSIBILITIES
· Ensure patient has been enrolled in the patient support program (PSP). Set the tone for a warm welcome into the program.· Provide direct telephone assistance to patients requiring reimbursement support.· Develop strong relationships with patients, caregivers, and their healthcare team by infusing confidence, trust, security, and relief.· Facilitate a patient’s access to a particular medication by offering reimbursement navigation services.· Investigate reimbursement options available to the patient and maximize the patient’s coverage via private and public payers, while minimizing the financial assistance offered through the PSP and/ or out-of-pocket expenses for the patient.· Represent the patient with private or public insurers to optimize drug coverage and assist with the completion of Special Authorization (SA) and/ or Prior Authorization (PA) forms, when applicable.· Liaise with PSP team to ensure optimal patient support and communication.· Maintain ongoing and transparent communication with the patient’s healthcare team.· Diligent record-keeping to ensure continuous care and exceptional customer and patient experience.· Uncover and proactively identify gaps and opportunities for improvement in patient experience.· Through patient-oriented solutions, manage challenging patient situations with empathy and patience.· Work with the site representatives to support specific customer needs.· Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.· Provide updates to stakeholders as requested and required.· Perform data entry, answer inbound calls, make outbound calls, manage email, and fax software, and perform general administrative functions including faxing and filing.· Must be able to identify and report adverse events to Health Canada (if applicable) and enter into source system and third-party systems.· Report and document adverse events as per pharmacovigilance requirements.· Participate in ongoing internal and/ or external continuing education activities.· Adhere to Bayshore Policies and Procedures.· 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.· Participate in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate supervisor of any Health & Safety risks or concerns.· Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel.· Complete other tasks as requested.QualificationsQUALIFICATIONS
· Post-secondary education or equivalent.· Reimbursement experience and/or a willingness to learn.· Understanding of provincial and private coverage criteria and how to navigate the Canadian drug coverage landscape.· Familiarity with the Special Authorization (SA) process for both public and private insurance in assigned territory.· Experience in the healthcare, pharmaceutical, or insurance industry would be an asset; experience with patients with cancer or rare diseases would also be an asset.· Strong customer service, communication, problem-solving and interpersonal skills required.· Demonstrates sensitivity and commitment to utilizing a patient-centric approach; is adept to responding to a patient’s emotional, educational, and health literacy needs.· Demonstrates cultural competency.· Making decisions using sound judgment, and meeting deadlines.· Ease of working in a paperless environment.· Proven ability to work autonomously within a team environment, in a remote/virtual setting.· Strong sense of organization, attention to detail, and ability to multi-task.· Proficient in Microsoft Office applications (Outlook, Word, and Excel).· Strong Computer and Technical skills: Excel, Word, Outlook, tablets, web- portals/internet use.· Mindful of accuracy and thoroughness of data entry for reporting requirements.· Making decisions.· Ease with working in a paperless environment.· Excellent written and verbal communication and interpersonal skills.· Established high speed internet access from home office.

Bayshore HealthCare – On-Call Client Service Coordinator – After hours/Weekends – Mississauga, ON

Company: Bayshore HealthCare

Location: Mississauga, ON

Expected salary:

Job date: Tue, 11 Feb 2025 23:31:25 GMT

Job description: Bayshore HealthCare is one of the Canada’s leading providers of home and community health care services and is a privately owned company. Bayshore HealthCare is proud to showcase its achievement as a Platinum member of Canada’s Best Managed Companies Program every year since 2006. Bayshore Healthcare is also recognized as Canada’s Best Employers in Forbes 2023 list.Bayshore is looking for a Client Service Coordinator to join our amazing team. This important customer service role is responsible for answering service inquiries and scheduling field employees to client care assignments. The On-Call Client Intake Coordinator, under the direction of the On-Call Client Service Supervisor, will be responsible for managing inbound and outbound calls. They will be a caring, reliable and results oriented individual with a professional and friendly attitude who is able to interact with clients, families, employees and referral sources.Responsibilities

  • Handle and document after hour client inquiries for care and service.
  • Respond to clients, families and employees in a positive manner while providing effective and efficient service over the telephone.
  • Complete data entry and maintain accurate documentation.
  • Handle and document client concerns and complaints and notify the On-Call Client Service Supervisor.
  • Provide efficient service over the telephone and through email
  • Respond promptly to phone calls and emails
  • Notify clients and Field Employees regarding schedules as needed.
  • Adhere to Bayshore Policies and Procedures.
  • Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System.
  • Participate in proactive Health & Safety activities while performing all duties. Is responsible for notifying the immediate Supervisor of any Health & Safety risks or concerns.
  • Maintains confidentiality of client and corporate information.
  • Complete other tasks as requested.

Work Location : Bayshore Healthcare, National Service Centre, 2101 Hadwen Rd, Mississauga, ON L5K 2L3. (REMOTE)QualificationsEducation
Minimum – Secondary School Diploma. College education or equivalent combination of education and experience an asset.Experience
A minimum of two years of related customer service experience, preferably in healthcare.Other Skills and AbilitiesExceptional organizational and interpersonal skills; proven ability to work both independently and as part of a team; ability to meet deadlines; strong commitment to continual learning; demonstrated competency in keyboarding and Windows scheduling software; proficiency in written and spoken English. French language is considered an asset. Must have excellent telephone communication and problem-solving skills. Demonstrates ability to assess client and family situations and handle difficult situations objectively in a consistent manner.Internal candidates must have a proven track record of achievement in dealing with clients, family members and employees and have demonstrated above-average initiative. Successful internal candidates must complete a three-month probationary period specific to the On-Call Client Intake Coordinator position.Portraying compassion and caring is a must. Professionalism, judgment, and discretion are essential in dealing with confidential and sensitive matters.

Director, Growth & Operations – Bayshore HealthCare – Vancouver, BC

Company: Bayshore HealthCare

Location: Vancouver, BC

Expected salary: $95000 – 115000 per year

Job date: Fri, 07 Feb 2025 05:27:29 GMT

Job description: , is accountable for all aspects of Branch Office operations including business development through marketing and sales, human… all aspects of the business, including sales and business development, HR, finance, clinical and digital operations. As a people…

Bayshore HealthCare – Nurse Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Fri, 24 Jan 2025 07:47:16 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.

Bayshore HealthCare – Program Support Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Sat, 25 Jan 2025 08:32:56 GMT

Job description: JOB SUMMARYThe Program Support (PSM) that is referred to as Program Manager/Nurse Case Manager (PM/NCM). In addition to the program manager responsibilities listed within the duties and responsibilities, the PM/NCM will also be the point of contact offering support to physicians and medical case management services to patients. Assist physicians with the completion of all program specific paperwork and follow-up on submissions pertaining to obtaining drug access through various means to ensure patients have access to their prescribed treatments in a timely manner. Act as a resource to physicians who are prescribing this medication and continuous support for patients for complete case management in relation to the program.DUTIES AND RESPONSIBILITIESPatient Support Program Management:

  • Collaborates with partnering pharmaceutical company to ensure performance expectations are met and maintained.
  • Maintains a patient centric approach to all decisions and activities related to their assigned Patient Support Program.
  • Maintain team training matrix, HR files and other required documentations for audit up to date
  • Works closely with internal and external stakeholders to ensure ongoing alignment and operations are meeting program requirements
  • Communicates program updates (including competitive intelligence and strategic insight) on an ongoing basis with Bayshore management team.
  • Takes a quality improvement approach when reviewing operations and delivering patient care.
  • Always maintains confidentiality of pharmaceutical partner and corporate information.
  • Develops business cases that deliver prompt, cost effective, creative solutions to the pharmaceutical partner and Bayshore.
  • Utilizes data modeling and analytical techniques to identify efficiencies and areas of opportunity and improvement.
  • Is responsible for understanding, implementing, and monitoring of all data reporting assigned to the program and submitted to internal and external stakeholders for review.
  • Responsible for data integrity and accurate data collection by program staff
  • Uses exceptional negotiation and customer service skills to cultivate long term partnerships in an ethical, transparent manner.
  • Prepares and presents Quarterly Business Reviews (as contractually required) to both internal and external stakeholders.
  • Supports the procurement, implementation, launch and development of revenue generating programs.
  • Serves as primary point of contact for internal and external partners, to address and resolve any program specific inquires.
  • Is financially responsible for the program P&L and works with senior management and finance to ensure the program is in a positive financial position.
  • Consistently and proactively stays abreast of industry changes and shares strategic market insight with pharmaceutical partners.
  • Demonstrates strong presentation skills and has public speaking ability to present complex data to customer groups during quarterly business meetings and for all ad hoc requests
  • Complete other tasks as requested.

Operations:

  • Develops and maintains specific program protocols, supporting documents, policies and procedures, including but not limited to scripting, SOP’s, Work Instructions and process flows in collaboration with pharmaceutical partner(s) if applicable
  • Actively participates in the reporting of incidents or occurrences through the Quality Management System (QMR).
  • Has a solid understanding of accounts payable and accounts receivable methodology.
  • In conjunction with the Pharmacovigilance Department, assures collection, processing and reporting of Adverse Events within contractual KPI’s and pharmacovigilance requirements.
  • Have strong project management skills and the ability to manage day to day operations, while assuming responsibility for several projects simultaneously.
  • Must be able to identify and report AE’s to health Canada, Med Info and enter into source system and third party systems.
  • Assists in the development and/or revision of policies and procedures.
  • Performs and supports regular program audits and quality assurance reviews to ensure KPI’s and pharmaceutical partner expectations are met, including call and chart audits as required
  • Complete other tasks as requested.

Human Resources:

  • Liaises with HR and Senior Management to coordinate recruitment, orientation, coaching, workload planning, and retention initiatives.
  • Directly manages program specific employees to ensure the delivery of high quality care and adherence to program, government, company and ISO 9001-2000 standards.
  • Participates in proactive Health & Safety activities while performing all duties. Is responsible to notify HR of any Health & Safety risks or concerns.
  • Responsible for completing Accident Reports for all direct reports who injure themselves on the job, within 24 hours of the incident.
  • Leads or assist with the implementation of Modified Work Programs for employees.
  • Develop and delivers employee training: including, but not limited to clinical and reimbursement programs.
  • Complete other tasks as requested.

QualificationsQUALIFICATIONSEDUCATION

  • Business graduate discipline in any field (College diploma, Undergraduate, Graduate) OR three (3) years of management experience in people management and patient support programs

EXPERIENCE

  • At least three (3) years of management of Patient Support Program experience or recent management experience in the healthcare or pharmaceutical industry.
  • Demonstrated ability to interpret and integrate policies and procedures; solid track record in conducting education initiatives
  • Demonstrates time management skills, as well as an ability to evaluate urgent situations and make appropriate business decisions.
  • Exemplary verbal and written communication abilities, facilitating effective interactions across diverse audiences
  • Demonstrated willingness to travel as per business requirements
  • 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)
  • Knowledge of the principles, practices and methods of account management; operations and service delivery; financial management and control; program development, implementation and evaluation; human resources practices.
  • 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.

Case Manager – Bayshore HealthCare – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Wed, 22 Jan 2025 06:43:55 GMT

Job description: are prescribing medications and patients who need on-going support. The Case Manager is instrumental in removing any reimbursement… as possible. This position reports into the Associate Program Manager. The Case Manager thrives in an environment that emphasizes teamwork…