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Case Manager Bilingue

2 months ago

Québec, Quebec, Canada CB Canada Full time
Présentation du poste

Nous recherchons un Gestionnaire de Cas Bilingue pour rejoindre notre équipe à CB Canada. Le candidat idéal sera un professionnel expérimenté dans la gestion de cas et la communication avec les patients et les médecins.

Responsabilités
  • Personnaliser les éléments de programme pour répondre aux besoins des médecins prescripteurs désignés;
  • Veiller au respect des normes régissant les soins infirmiers de l'Ordre des infirmiers et infirmières;
  • Passer en revue l'état du patient et aider le médecin prescripteur à compléter l'inscription des patients, à préparer les demandes d'autorisation spéciale (AS) pour l'assurance publique ou privée en examinant les dossiers des patients et en évaluant les thérapies et les tests précédents afin de remplir les demandes d'AS;
  • Évaluer de manière proactive les programmes et faire des suggestions pour améliorer les résultats et la qualité de service;
  • Remplir tous les rapports pertinents (rapports propres au programme, dépenses, etc.) conformément aux échéanciers précisés et selon les normes requises.
Compétences requises
  • Exceptionnelles compétences en service à la clientèle et en communication;
  • Capacité à gérer plusieurs tâches et priorités à la fois;
  • Compréhension de la terminologie médicale;
  • Fortes compétences analytiques et organisationnelles;
  • Capacité à analyser la charge d'inscription actuelle par MD;
  • Capacité à communiquer avec un médecin et son personnel de bureau comme un partenaire médical fiable et bien informé;
  • Excellentes compétences en gestion du temps et sens de l'urgence;
  • Capacité à collaborer efficacement avec les associés du programme;
  • Capacité à travailler de manière autonome dans un environnement à distance;
  • Capacité à communiquer efficacement à l'oral et par écrit, ainsi qu'en français et en anglais (oral et écrit) pour les provinces du Québec et du Nouveau-Brunswick;
  • Détails et résultats orientés;
  • Capacité à s'adapter à l'ambiguïté et aux changements;
  • Fortes compétences en informatique et connaissance de Microsoft Office;
  • Capacité à assister à des événements de formation continue en santé (CHE) avec les professionnels de la santé, qui peuvent se dérouler en dehors des heures de travail habituelles;
  • Posséder et maintenir une licence de conduite valide, non périmée et sans restriction, ainsi qu'une voiture.
Conditions d'emploi
  • Travail à temps plein;
  • Disponibilité pour voyager à l'intérieur d'un territoire assigné, avec quelques voyages avec nuitées possibles;
  • Permis de conduire valide, police d'assurance automobile courante, et accès à des moyens de transport fiables, pour les voyages régionaux;
  • Expérience et formation dans divers domaines thérapeutiques constitue un atout;
  • Exige normalement un minimum de trois (3) à cinq (5) ans d'expérience dans le domaine du remboursement par des tiers publics ou privés, ou de l'industrie pharmaceutique dans les ventes, la gestion des soins, ou le soutien clinique;
  • Antécédents en administration des affaires (pharmaceutique) en ventes et en marketing constitue un atout;
  • Connaissance de la structure, des systèmes et processus de remboursement public et privé;
  • Expérience de la navigation en vue d'obtenir un remboursement, du processus de demande autorisation spéciale, des procédures de recours, et de la prestation d'un soutien et de conseils en matière de remboursement sur le terrain;
  • Solides compétences analytiques, y compris l'interprétation de la réglementation et la législation;
  • Maîtrise du français et/ou de l'anglais peut être requise, selon le programme et le lieu géographique.
Avantages

Nous offrons un programme de rémunération totale concurrentiel. Notre engagement envers nos associés comprend des programmes de benefits qui sont complets, divers et conçus pour répondre aux besoins variés de notre population d'associés.

Nous prenons une approche équilibrée dans les benefits que nous offrons. De nombreux benefits sont payés par l'entreprise, tandis que d'autres sont disponibles grâce aux contributions des associés. Les offres de benefits spécifiques peuvent varier en fonction de l'emplacement, du poste et/ou de l'unité commerciale.