Ppn Care Coordinator

4 months ago

Mississauga, Canada Greenshield Holdings Full time

**WHO WE ARE**

When it comes to health, we’re always looking for ways to push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her health by forgoing her own medicine to pay for her sick daughter’s prescription. He knew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and GreenShield was born as a not-for-profit with a mission to support better health for all Canadians.

We aren’t just a health and benefits company. We’re the only not-for-profit social enterprise that brings worlds of coverage and care together, all in one place. We’re noble challengers, purposefully building a better way and we need the best people to help us create a more holistic approach that takes care of the mind and body.

Our mission is to create better health for all Canadians, and we know that starts with our employees.

As a part of Greenshield group of companies, Greenshield Administration provides innovative health benefit solutions for the small-mid size companies in Canada. Recognized as the leading alternative to the traditional insurance companies, in a market where small and mid-sized employers have been largely underserved Greenshield Administration sets itself apart from the competition, by using technology, creative product development and a stellar customer experience to solve problems for employers. Honeybee Benefits is our next generation benefits platform built for today’s modern workforce that empowers employers to compete better for talent.

A Specialty Care Program Care Coordinator (CC) provides support, education and health care services to private payor’s plan members and their dependents who have a.

As the primary point of contact for patients and their circle of care, you will provide Specialty Care Program services such as plan member navigation into network pharmacies, troubleshooting network pharmacy inquiries, managing exception requests, assessing patient adherence based on validated questionnaires, patient education and health coaching. This position reports into the PSP/PPN Lead.

**Responsibilities**:

- Telephone support: Provide Patients with telephone support services that enable CC’s to respond to questions relating to patients, program, network pharmacies and Patient Support Programs (PSPs) that relate to the Specialty Care Program details, network pharmacy issues with PSP copay assistance, patient inquires and questions. Calls include identifying issues, troubleshooting various solutions, and providing SME level information.
- Coordination of Specialty Drug Care Program services: Navigate and coordinate with in-network pharmacies for the dispensing of prescribed drugs that have been included in the PPN patients, including coordination with the patient’s HCPs and PSP.
- Adherence Support services: Complete an initial assessment with patients, to investigate if they are taking their medication as prescribed. Refer any pts that are assessed as medium to low adherence to the Nurse Case Manager for follow up.
- Program materials: Coordinate the distribution of program related materials (e.g. letters, faxes, etc.) to Patients, HCPs, and PSPs**.**:

- Confidentiality: Maintain the confidentiality of all information that relates to the GS Specialty Drug Care program generally and Patients specifically.
- Ensure compliance with provincial/federal privacy legislation.
- Participate in on going internal and/or external continuing education activities.
- Adhere to NKS’s Polices, Processes and Procedures.
- Participate in quality activities and continuous improvement initiatives.

**Requirements**:

- A university/college degree, preferably in a health-related field
- Possess strong clinical expertise and experience in a range of health conditions
- 2 + years case management experience
- Bilingual an asset
- Proven ability to work effectively as part of an interdisciplinary team, demonstrate competence in performance of case management, providing patient education and documentation.
- Excellent organizational, problem-solving, conflict resolution and critical thinking abilities.
- Excellent interpersonal, listening and communication skills (written and verbal), ability to direct conversations and target specific issues.
- Proficient in using technology including: computers and software programs
- Self-regulation of time management and the ability to multi-task and adhere to deadlines
- Familiarity with PIPEDA and how it applies to confidential patient information

**THE CULTURE**

We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself

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