Case Manager
6 months ago
Do you want to work with a collaborative, diverse team and gain innovative experience in one of the fastest evolving industries?_
SRx health solutions is a fast-growing healthcare solutions services company designed for today’s growing markets. We are Canada’s leading healthcare provider and have grown with over 400 employees across the country. We provide innovative, sustainable, and integrated healthcare solutions with a mission to enhance the wellness of Canadians. You will be part of a team that is dedicated to create immersive experiences and transforming ideas into successful health care programs that matter.Here, you will be empowered to follow your passion to continuously learn and grow. Not to forget to mention, we have one of the friendliest teams on the globe**What you will be doing**:
- Act as the single point of contact for patients enrolled in the support program and prescribing physician.
- Conducts welcome calls to gather relevant information, introduce patients to the support program, and obtain patient consent as required.
- Informs the patient about all program offerings e.g., case management support, reimbursement support, self-injection training, prescription coordination and ongoing compliance.
- Maintain an expert level of knowledge of the Canadian reimbursement landscape and current trends.
- Liaise with patients, insurers and physicians regarding the documentation required to maximize reimbursement coverage, including the exploration of all public and private coverage as needed.
- Complete and review insurance-related paperwork prior to submitting it to insurers for processing. Follow up on, and advocate for patients with public and private payers until a decision is received and coverage is secured.
- Complete financial assessments with patients in accordance with Program offerings and ensure financial assistance renewals are done in a timely manner.
- Ensure that reimbursement renewals are completed promptly for all assigned patient files.
- Coordinate directly with Specialty Rx Pharmacies and Specialty Health Clinics to ensure patients have access to and receive their treatment promptly.
- Assist Specialty Rx Pharmacies with billing as needed.
- Coordinate and maintain patient appointment schedules to ensure optimal clinic and homecare efficiencies are achieved. This includes scheduling initial patient appointments, rescheduling established series of appointments, and collaboration with nursing/clinics regarding staffing challenges.
- Contact patients to ensure adherence to the treatment plan and coordinate delivery of medication(s).
- Report all Adverse Events (AE) and Product Quality Complaints (PQCs) immediately or as soon as possible upon becoming aware of the event as per client requirements.
- Maintain detailed case notes and ensure assigned patient files are accurate and up to date in the CRM database.
- Participate in and assist with continuous improvement initiatives related to processes, quality, training, etc. Adhering to determined KPIs.
- Act as a resource for Program stakeholders, which may include physicians, nurses, patients, clinics, and the client.
**About your Qualifications**:
- A Case Manager typically has a bachelor’s degree in psychology, human services, healthcare, social work, or another related field.
- Organizational and decision-making skills
- Leadership and teamwork skills
- Time management skills
- Tolerance and conflict resolution skills
- Autonomy, mentorship, and cultural sensitivity
- Patience and strong attention to detail
- Computer literacy including use of record-keeping software
**Why you should work with us?**
- Paid vacation
- Annual Bonus
- Paid sick days
- Comprehensive salary
- Benefits package
- RRSP
- Opportunities to develop new skills and progress your career
**_
If it sounds like you, we want you to apply_**
**About us**:
- SRx Health Solutions was founded in 2013 by its current President, Adesh Vora. After running retail pharmacies for over 12 years, Mr. Vora opened two pharmacies in Ontario. To achieve this, Mr. Vora recognized the need to provide more than just retail pharmacy services. Our company fosters a collaborative and inclusive work environment that empowers individuals to thrive, embrace challenges, and make a meaningful impact on the healthcare industry.
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