Nurse Case Manager

Dec 12, 2024

Bayshore HealthCare

Case Management | Care Management, Entry Level, Registered Nurse | RN
Ontario Canada

Employment Type:

Regular | Perm Employee

Schedule:

Full-time

Remote Status:

Remote

License:

Canada

Bayshore HealthCare

Case Management | Care Management, Entry Level, Registered Nurse | RN
Ontario Canada

Employment Type:

Regular | Perm Employee

Schedule:

Full-time

Remote Status:

Remote

License:

Canada

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

Qualifications

EDUCATION

  • 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
  • Fluent in verbal and written communication and interpersonal skills for both English and French would be considered an asset (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.

Primary Location

Ontario