Field Nurse Case Manager

JOB SUMMARY

The Field Nurse Case Manager (FNCM) that is referred to as [contractual program title, ex. Regional Support Nurse, Clinical Case Manager or etc.]… the job summary is program specific

DUTIES AND RESPONSIBILITIES

- Assist the prescribing physician to complete patient enrolment; including on-site visits to the physician’s office to gather all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner

- Proactively offers support and advocacy to patients and HCP

- Visits prescribers in their assigned area to assist with paperwork in office as required

- Review patient charts to gather all pertinent and appropriate information to complete necessary reimbursement forms in a concise, organized and professional manner

- Actively establish and strengthen relationships with HCP within assigned region through on site and virtual visits

- Accountable for conducting physician site visits across diverse geographical territories

- 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/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

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

- 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)

- Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet use

- Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset

- Strong critical thinking and problem-solving skills

- Accurate data collection and integrity

- Ease with working in a paperless environment

- Proven ability to work in a team environment

- Ability to resolve conflict in a professional manner

- 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

- Possession of a valid driver/'s license, with the capability and willingness to travel extensively across assigned territories, utilizing reliable personal transportation

OTHER SKILLS & ABILITIES

- These will be program specific

- Ex. Oncology experience or etc

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