Dedicated Patient Support Program Nurse Case Manager

1 week ago


Toronto, Ontario, Canada Bayshore HealthCare Full time
About the Role

We are seeking a skilled and compassionate Nurse Case Manager to join our team at Bayshore HealthCare. In this critical role, you will play a pivotal part in supporting patients with reimbursement support and medical case management services.

Key Responsibilities:
  • Assist physicians with completion of program-specific paperwork and follow-up on submissions for drug reimbursement/coverage through private and provincial drug formularies.
  • Liaise and advocate with third-party providers and provincial governments to determine coverage options.
  • Review patient charts, ensuring data integrity and accurate record-keeping.
  • Schedule diagnostic tests and notify physicians of expired results requiring follow-ups.
  • Complete Welcome Call activities with patients according to defined scripts.
  • Review Post Injection Reports to confirm next appointments and data accuracy.
  • Track missing reports and facilitate communication with healthcare professionals.
  • Secure coverage for patients through follow-up and advocacy efforts.
Requirements:
  • Graduate of registered Nursing Program or registered practical nursing program holding current registration from a provincial licensing body in Canada.
  • Registered and in good standing with their provincial regulatory body.
  • Minimum 2 years' experience in Patient Support.
  • Excellent customer service skills and fluency in verbal and written English and French (applicable for provinces/regions with French language service requirements).
  • Prior experience with the product is preferred, along with reimbursement knowledge and understanding of provincial and private coverage criteria.

Estimated Salary: $60,000 - $80,000 per year

About Us:

Bayshore HealthCare is committed to Equity, Diversity & Inclusion, creating a culture of belonging where individual differences are celebrated. We operate in accordance with the Accessibility for Ontarians with Disabilities Act and applicable Provincial Human Rights Codes.



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