Clinical Programs Specialist

3 weeks ago

Calgary, Alberta, Canada MCD McKesson Canada Corporation La Corporation McKesson Canada Full time

Job Summary:

The Sr. Specialist is responsible for the coordination and delivery of services related to one patient support programs offered by McKesson Specialty. The role involves interactions with patients, family members, physicians, clinic nurses and other health care professionals (HCPs) the client and members of McKesson's multidisciplinary team using web based, telephony and face to face means of communication. The role involves understanding and adhering to corporate, divisional, and departmental and program specific standards.

Duties and Responsibilities:

• Perform HCP and patient registration activities, according to program protocols and applicable departmental procedures

• Review, analyze and validate information provided by patients and HCPs for accuracy and completeness to ensure initiation of services

• Follow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to HCPs and patients

• Process data entry activities of pertinent information received at different points of contact during the delivery of program services

• Based upon program guidelines, conduct reimbursement investigations with private and public reimbursement providers including coordinating/facilitating submission of Special Authorization letters to public and private payers and conducting reimbursement denial escalations through employers/payers

• Based upon program guidelines, liaise with physicians' offices, clinics, infusion services providers, McKesson Specialty Pharmacy team and/or relevant other parties to provide comprehensive and coordinated service to patients and health care providers

• Gather information and conduct patient financial assessment eligibility based on program guidelines

Key Responsibilities:

• Manage case load in assigned territory

• Provide pump training to clinic/ward nursing staff upon request of Community clinic

• Document all patient/family interactions in McKesson database

• Communicate relevant patient related issues to colleagues in the event CSS is unavailable to respond to inbound calls

Requirements:

• RN; Registration with Provincial College of Nurses. Must be a member in good standing of respective regulatory college

• 5+ years of nursing experience necessary. Experience related to critical care, intensive care or emergency room care is considered an asset, and is preferred

• Strong critical thinking, problem-solving skills and attention to details

• Effective organizational skills and time management

• Excellent presentation, interpersonal and leadership skills

• Ability to consistently meet deadlines

• Strong business and financial acumen

• Strong analytical and mathematical skills

• Knowledge of Microsoft Word, Excel, PowerPoint and other Office Programs

• Strong computer and software skills: Excel, Word, Outlook, Adobe

• Excellent written and verbal communication skills in English. Bilingualism is considered an asset

• Ability to travel on short notice

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