Bilingual Patient Support Program Nurse Case Manager

4 weeks ago

Toronto, Ontario, Canada Bayshore HealthCare Full time

About the Role

The Nurse Case Manager will play a crucial role in supporting patients with reimbursement support to physicians and medical case management services. They will assist the physician with the completion of all program-specific paperwork and follow-up on submissions pertaining to obtaining drug reimbursement/coverage through private and provincial drug formularies.

This role is operated on a remote basis and may occasionally include travel in the Greater Toronto Area.

A Day in the Life

  • Assist in completing patient enrolment, including gathering all pertinent and appropriate information to complete the necessary forms.
  • Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options.
  • Review patient charts and ensure patients are scheduled for necessary diagnostic tests.
  • Complete Welcome Call activities with the patient according to defined scripts.
  • Review Post Injection Reports to confirm next appointment is scheduled and data integrity of the report against the physician order.
  • Track missing Post Injection Reports.
  • Facilitate any required communication with physicians, Patient Support Programs, or other healthcare professionals involved in the patient's circle of care.
  • Follow up/advocate until a decision is received, ideally securing coverage for the patient.
  • Work closely with the manufacturer local sales representatives to support specific physician's and staff needs.
  • Offer and/or provide educational training to patients and physicians on product administration.
  • Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.
  • Coordinate and schedule patients at appropriate injection locations.
  • Provide updates to 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 client and corporate information and discuss same only with appropriate Bayshore personnel.
  • Complete all relevant reports (time sheets, expenses, mileage, reports, as per specified timelines and Bayshore's policy).
  • Complete product complaint reports.
  • Adhere to Bayshore and manufacturer Policies and Procedures.
  • Complete other tasks, as requested.

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