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Medical Case Manager
2 months ago
We are seeking a highly skilled and experienced Nurse Case Manager to join our team at Innomar Strategies. As a key member of our organization, you will play a critical role in providing medical support to patients and healthcare providers, including education on specific diseases and therapies, and disease management.
Key Responsibilities- Provide medical support to patients and healthcare providers, including education on specific diseases and therapies, and disease management.
- Telephone support, including maintenance calls and adherence support, as needed.
- Database management and ongoing auditing of files and information captured.
- Administer and adhere to case-management protocols, including clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting, and liaison with primary healthcare providers.
- Prepare for and attend extensive, specialized training sessions for specific therapies provided by the pharmaceutical team, as required.
- Work directly with the reimbursement specialist and the physician to secure funding for patients' therapies, and assist with alternative funding searches when needed.
- Attend pharmaceutical sales meetings, as required.
- Attend patient meetings, conferences, as needed, to educate patients, providers regarding disease/product information, and case management services.
- Work with patient associations and advocacy groups, as required.
- Establish and maintain partnerships with the pharmaceutical team.
- Liaise with healthcare providers, pharmacies, and infusion clinics, and other agencies, as required, to coordinate infusions, drug delivery, and resolve issues as they arise.
- Clear communication to the manager, team, and the client regarding the management of patient cases.
- Participate in the training process of new nurse case managers, including shadowing and call monitoring.
- Support and collaborate with other program staff in the development and implementation of disease management programs, including clinical requirements, writing texts, manuals, or patient pamphlets, developing compliance program parameters, needs assessments, and protocols.
- Provide feedback regarding current protocols, databases, processes, inter-departmental relationships.
- Responsible for reporting all Adverse Events to the assigned units/departments.
- A Bachelor's degree or registered nurse (RN) diploma, advanced degree, or specific practice management experience, preferred, with five (5) years of Nursing experience.
- Registration with the College of Nurses in the province of employment is required.
- Requires a minimum of two (2) years in public or private third-party reimbursement arena or pharmaceutical industry in sales (not required, but an asset), managed care, or clinical support, or related experience.
- The preferred candidate is a nurse with healthcare and case management experience in medical or hospital practice or the insurance or bio-pharma industry.
- Bilingualism (French and English) strongly preferred.
- Strong patient focus.
- Strong ability to multi-task.
- Ability to work under pressure.
- Superior customer service skills.
- Internet-research and computer savvy.
- Strong verbal and written communication skills, problem-solving skills, and a team player.
- Strong phone etiquette.
- Ability to communicate and comprehend medical information.
- Demonstrate teamwork abilities.
- Ability to work autonomously.
- Ability to handle sensitive issues with opposing opinions and strong negotiation skills.
- Strong business and financial acumen.
- Strong analytical and mathematical skills.
- Ability to communicate effectively both orally and in writing.
- Effective interpersonal and leadership skills.
- Effective organizational skills; attention to detail.
- Ability to consistently meet deadlines.
- Excellent problem-solving skills; ability to resolve issues effectively and efficiently.
- Excellent presentation skills.
- Proficiency in Microsoft Word, Excel, PowerPoint, and other Office Programs.
- Available for travel at least 15% per year.
