Bayshore HealthCare – Nurse Case Manager – Mississauga, ON

Company: Bayshore HealthCare

Location: Mississauga, ON

Expected salary:

Job date: Wed, 21 May 2025 03:26:19 GMT

Job description: -accurate to meet program reporting requirements. Must be able to identify and report Adverse Events to Health Canada, Med Info… in Canada. Experience Registered and in good standing with their provincial regulatory body. Minimum 2 years’ experience…

Bayshore HealthCare – Case Manager – Mississauga, ON

Company: Bayshore HealthCare

Location: Mississauga, ON

Expected salary:

Job date: Thu, 22 May 2025 22:11:28 GMT

Job description: JOB SUMMARY
To 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. 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.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 through conducting the welcome call, reimbursement support, conducting follow up calls, and providing both inbound and outbound call 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.
  • Gather all pertinent and appropriate information from the prescribing physician to complete the necessary forms (private and/or provincial insurance) in a concise, organized and professional manner.
  • 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 regarding patient care and reimbursement outcomes as needed. Follow up with patient at a minimum annually to confirm if there have been changes to coverage.
  • Diligent record-keeping to ensure continuous care and exceptional customer and 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.
  • 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 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

  • Fluent in both French and English an asset.
  • 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.
  • Proven ability to w o r k autonomously within a team environment, in a remote/virtual setting.
  • Strong sense of organization, attention to detail, and ability to multi-task.
  • Strong Computer and Technical skills: Excel, Word, Outlook, tablets, webportals/internet use.
  • Excellent written and verbal communication and interpersonal skills.
  • Established high speed internet access from home office

Bayshore HealthCare – Case Manager – Mississauga, ON

Company: Bayshore HealthCare

Location: Mississauga, ON

Expected salary:

Job date: Fri, 23 May 2025 04:19:29 GMT

Job description: JOB SUMMARY
To 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. 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.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 through conducting the welcome call, reimbursement support, conducting follow up calls, and providing both inbound and outbound call 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.
  • Gather all pertinent and appropriate information from the prescribing physician to complete the necessary forms (private and/or provincial insurance) in a concise, organized and professional manner.
  • 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 regarding patient care and reimbursement outcomes as needed. Follow up with patient at a minimum annually to confirm if there have been changes to coverage.
  • Diligent record-keeping to ensure continuous care and exceptional customer and 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.
  • 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 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

  • Fluent in both French and English an asset.
  • 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.
  • Proven ability to w o r k autonomously within a team environment, in a remote/virtual setting.
  • Strong sense of organization, attention to detail, and ability to multi-task.
  • Strong Computer and Technical skills: Excel, Word, Outlook, tablets, webportals/internet use.
  • Excellent written and verbal communication and interpersonal skills.
  • Established high speed internet access from home office

Bayshore HealthCare – WSIB & Return to Work Advisor – Markham, ON

Company: Bayshore HealthCare

Location: Markham, ON

Expected salary:

Job date: Sun, 11 May 2025 06:29:10 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 Healthcare’s HR team has been recognized as one of the Top 10 HR Teams globally by the OnCon Icon Awards.Person-and family-centered care (PFCC) is an approach to care that recognizes the importance of family in a patient’s life and the importance of their active involvement in planning and making decisions on health care, services and treatment, and health system reform. This approach to care provides respectful, compassionate, culturally safe, and responsive care that meets the needs, values, beliefs, and preferences of the patient, their family, and others identified as significant to their life from diverse backgrounds and settings.The WSIB & Return to Work Advisor is responsible for managing all aspects of the Workplace Safety and Insurance Board (WSIB) Claims for ICS Division in our Healthcare facilities. The key focus of the role is to ensure compliance with all WSIB requirements, coordinating with healthcare professionals to manage employee injuries and illnesses, and maintaining accurate records of all WSIB Claims.DUTIES AND RESPONSIBILITIES:

  • Is responsible for administrating all WSIB Claims in Transitional Care Units (TCUs) and Community in collaboration with National Service Centre (NSC) Health and Safety by ensuring they are managed in a timely and efficient manner. This includes when necessary, participating in the investigation of the work-related incidents, and RL6 reports.
  • In consultation with HRBP and HR Director must have the ability to coach and guide managers and leaders across all TCUs and Community levels of the organization on RL6 and WSIB incidents to ensure all WSIB Claims and processes comply with applicable laws and regulations.
  • Provide information about the return-to-work process, rights, and obligations to employees returning into the workplace. Identify obstacles to return to work and how to overcome them.
  • Coordinate return to work, which may include job changes.
  • Maintain accurate and up to date records of all WSIB Claims and related documentation.
  • In conjunction with WSIB Manager – NSC and HRBP will develop & review the physical demand analysis for staff as may be required.
  • Communicate with healthcare professionals to coordinate appropriate care for employees with workplace injuries or illnesses.
  • Participate in meetings with WSIB RTW Specialists.
  • Communicate regularly with all partners on best practices and ongoing process improvements as outlined by NSC – Health and Safety.
  • Provide reports through WSIB Metrics (reports) to management to aid with decision making.
  • Participates in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns.
  • Adhere to Bayshore Policies and Procedures and educate employees and leadership as required, including answering general policy related questions and promote a workplace culture of support, collaboration, passion, and inclusiveness.
  • Proactively promotes and participates in Health & Safety program and conducting routine audits and participates in the Health and Safety Programs as directed by the immediate supervisor and NSC – Health and Safety.
  • Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel.
  • Performs other duties as assigned.

REPORTING RELATIONSHIP:

  • This role will be reporting to the WSIB Manager , with dotted line to Director, Human Resources.

Work Location: Bayshore Healthcare, Markham ON/ remoteQualificationsEducation:

  • Post Secondary education required in healthcare administration, business administration or related field or a diploma in Occupational Health & Safety, in progress, or the equivalent work experience in Occupational Health & Safety.
  • Joint Health and Safety committee (JHC) level 1 & 2 considered an asset

Experience:

  • A minimum of 3+ years of progressive and varied health & safety administration work experience.
  • Experience managing disability management files and assisting with coordinating gradual return to work programs.
  • Previous experience with Occupational Health and Safety is a definite asset.
  • Ability to drive results as an individual contributor while staying focused on overall team goals and success.
  • Excellent communication and presentations skills.
  • Exceptional judgment and ability to solve problems independently.
  • Ability to learn/adapt/be resilient in a high growth business environment.

The Ideal candidate for this position will possess a strong business acumen as well as deep experience across all dimensions of Health & Safety. This role primarily operates in a professional office environment within a healthcare facility. Occasional site visits will be required and the candidate may walk for extended period.OTHER SKILLS AND ABILITIES:

  • Exceptional interpersonal skills and ability to manage difficult situations in an objective consistent format.
  • Ability to work independently and as part of a team.
  • Strong computer skills including intermediate to senior level Excel and Word application skills. Commitment to continual learning.
  • Fluency in written and spoken English.

STANDARDS OF PERFORMANCE:Performance will be reviewed on an ongoing basis with a formal review at the end of the three-month probationary period and subsequently, on at least an annual basis. Input will be sought from the employee, their supervisor, employees at the ICS Main Office and locations and the National Development Centre and in addition, will be based on ongoing client feedback and the extent to which performance meets expectations. At Bayshore HealthCare, we take pride in creating an inclusive and accessible environment for everyone. Our vision is about being the difference in the lives of those we care for, work with and the communities we serve.

Bayshore HealthCare – Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Sat, 26 Apr 2025 02:39:33 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 – Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Sat, 26 Apr 2025 23:14:41 GMT

Job description: JOB SUMMARY
To 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. 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.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 through conducting the welcome call, reimbursement support, conducting follow up calls, and providing both inbound and outbound call 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.
  • Gather all pertinent and appropriate information from the prescribing physician to complete the necessary forms (private and/or provincial insurance) in a concise, organized and professional manner.
  • 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 regarding patient care and reimbursement outcomes as needed. Follow up with patient at a minimum annually to confirm if there have been changes to coverage.
  • Diligent record-keeping to ensure continuous care and exceptional customer and 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.
  • 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 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

  • Fluent in both French and English an asset.
  • 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.
  • 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.
  • Strong Computer and Technical skills: Excel, Word, Outlook, tablets, webportals/internet use.
  • Excellent written and verbal communication and interpersonal skills.
  • Established high speed internet access from home office

General Manager, The Westin Bayshore, Vancouver – Westin Hotels & Resorts – Vancouver, BC

Company: Westin Hotels & Resorts

Location: Vancouver, BC

Expected salary:

Job date: Sun, 20 Apr 2025 03:58:00 GMT

Job description: and marketing, finance and accounting, or related professional area. OR 4-year bachelor’s degree in Business Administration…, Hotel and Restaurant Management, or related major; 6 years’ experience in the management operations, sales and marketing…

Bayshore HealthCare – Nurse Case Manager – Ontario

Company: Bayshore HealthCare

Location: Ontario

Expected salary:

Job date: Thu, 10 Apr 2025 07:22:13 GMT

Job description: JOB SUMMARYNurse Case Manager (NCM) will play an essential role in supporting patients living with a neurological/rare disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and medical case management services 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.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 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, 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.