Case Manager

6 months ago

Edmonton, Canada Sentrex Health Solutions Inc. Full time

**Position Type**: Full-time

**Department**: Provider Solutions

**Work Location**: Edmonton, Alberta

**Work Hours**: Standard Business Hours M-F

**Work Arrangement**: Hybrid **(Primarily remote with the occasional clinic visit)**

**Travel Required**: No

A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology and experienced, cross-functional teams. Our core capabilities include **Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, as well as HCP & Clinic Services.**

**Come and join our team But first, let us tell you why we love working here**:

- We are 100% Canadian with locations across the country
- State-of-the-art facilities to provide high-quality products and services
- The opportunity to be a part of a winning, high-performing team
- Collaborative, engaging workplace culture - **we are passionate about our people**
- Flexible working environment that promotes a healthy work-life balance
- Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued
- High-growth environment that provides opportunities for learning and growth supported by our Employee Development Program and industry-leading, in-house corporate training offered throughout the year
- Quarterly virtual social events

**The Opportunity**:
This dynamic position allows for direct patient care in fast paced Neurology clinics. Your role will focus on supporting patients as they navigate the complexities of the healthcare system. You will provide service that is second to none to ensure patients are able to access life changing therapies. This role will be key at breaking down barriers and supporting optimal patient care. The Case Manager is responsible for managing multiple tasks at a time and will maintain detailed records to ensure efficient follow up. This role will be key in pulling together physicians and nurses in the best interests of patients and will act as a primary point of contact to their assigned health care providers (HCP)

**A Day in the Life (What you will do here)**:

- Responsible for the timely enrollment of the patient into the Patient Support Program.
- Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.
- Reviews the patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
- Provides therapy guidelines/education on the program to manage patient and physician expectations.
- Collects information and conducts patient financial assessment eligibility based on program guidelines.
- Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
- Reports Adverse Events/Severe Adverse Events (AE/SAEs) following approved SOPs.
- Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported within twenty-four hours of receipt, and any other KPIs established as the Program level.
- Electronically updates the Customer Relationship Management (CRM) tool by providing timely patient and clinic information.
- Fosters and promotes a spirit of teamwork while working with internal patient support teams.
- Acts a liaison and provides ongoing feedback to the Program Manager based-on observations in the field and feedback from customers as it pertains to the quality of services, training, and other areas of importance.
- Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Assistant Program Manager.
- Completes all relevant reports (timesheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards
- Work as a partner to the physicians and nurses in designated clinics
- Perform HCP and patient registration activities, according to protocols and applicable departmental procedures.
- Provide reimbursement support to patients and HCPs, including but not limited to education on private and public insurance.
- Prepare for and attend extensive, specialized training sessions for specific therapies.
- Provide detailed follow up and always maintain the patient as the key focus of your role.
- Additional duties as assigned by your Manager.

**What you need to ensure you are set up for success**:

- A

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