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Nurse Case Manager – Limited
3 weeks ago
Location: Remote with Travel Requirements
About PSPSync:
PSPSync Limited is a dynamic and growing provider of Patient Support Program (PSP) services, specializing in innovative, technology-enabled solutions that simplify access to therapies for patients across Canada. We are committed to delivering seamless, patient-centric support that drives outcomes for patients, healthcare providers, and our pharmaceutical partners.
POSITION SUMMARY:
The Nurse Case Manager is responsible for coordinating comprehensive care and support services for clients through virtual assessment, planning, and ongoing case management. Working from an office or remote environment, the Nurse Case Manager evaluates patient needs, develops individualized care plans, and collaborates closely with healthcare providers, insurers, community resources, and family members.
The role focuses on clinical assessment, care coordination, advocacy, resource management, and patient education, without requiring on-site field visits. The Nurse Case Manager monitors patient progress identifies barriers to care and facilitates timely interventions that support optimal health outcomes. This position also ensures compliance with organizational policies, regulatory standards, and documentation requirements.
PRIMARY DUTIES AND RESPONSIBILITIES:
Practice Management & Clinical Skills
- Adheres to relevant regulatory college standards and clinical practice requirements (e.g., College of Nurses, Pharmacists, Respiratory Therapists, etc.)
- Tailors program components to address the specific needs and communication preferences of the assigned prescribing physician while collaborating with the Field Nurse Case Manager
- Evaluates patient status and collaborates with the Field Case Manager to complete patient enrollment
- Partners with the non-clinical case manager to complete special authorization and public payer forms to secure patient coverage, by analyzing patient charts, assessing prior therapies, diagnostic tests, and disease state scores
- Actively evaluates the patient file, with the ability to predict next steps, and offers recommendations to improve outcomes and enhance service quality
- Proficient in conducting patient assessments, including medical history reviews, disease activity, and symptom management
- Maintains accurate and thorough documentation of patient assessments, interventions, and outcomes
- Documents efficiently and robustly in the client management system
Patient Support
- Completes an enrollment call for each patient upon receiving the request from the prescribing physician and gathers necessary patient information
- Provides patient education on the specialty medication, therapy guidelines, and next steps
- Works in collaboration with the Field Nurse Case Manager
- Demonstrates patient-centered care by respecting patient preferences, values, and cultural backgrounds
- Engages patients in shared decision-making and treatment planning
- Coordinates patient services in line with KPIs, ensuring quick access to therapy
- Works closely with the non-clinical case manager to manage private and public coverage for the patient
- Follows up with patients, physicians, and insurers on the status of the reimbursement process
- Guides patients through financial assistance options and provides necessary information
- Assists patients with pharmacy selection and drug delivery coordination
- Supports the patient on therapy and monitors the patient ongoing
- Reports Adverse Events in compliance with program operating procedures
- Identifies trends in barriers to coverage and communicates them to their manager directly
Mentorship / Peer Support
- Assists in the training and development of new Nurse Case Managers as needed
- Offers support and assistance to peers through consistent and ongoing communication
- Cultivates and maintains a positive relationship with the PSP team
- Provides timely patient information as required using the program's designed communication channels
Client Management / Customer Interaction
- Aids resolve client–physician issues by proactively providing information and collaborating with the Field Nurse Case Manager
- Acts as a liaison and provides ongoing feedback to the client-based feedback from customers as it relates to the quality of service
- Responds to all physician and patient requests within a reasonable timeframe outlined in expectations
The Nurse Case Manager may also be assigned other duties and tasks as required from time to time.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS
- Licensed healthcare professional (RN, RPN, LPN, NP, Pharmacist, or Respiratory Therapist) in good standing with their respective provincial regulatory body
- Proof of valid professional liability insurance coverage, renewed on an annual basis
- Minimum three (3) years of clinical experience in a healthcare setting is an asset
- Previous work experience within a Patient Support Program is required
- Experience and knowledge in Gastroenterology, Dermatology, Rheumatology,
- Respirology, Immunology, and/or Allergy an asset
- Knowledge in public or private reimbursement structure and process is an asset
- Background in specialty medication/biologics an asset
- Proficient in computer skills and advanced technology systems
- Bilingualism in French an asset
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS
- Strong customer service skills; ability to communicate effectively with patients, families, and interdisciplinary team members
- Empathetic and compassionate approach to patient care
- Takes a patient-centric approach by educating to reduce patient concerns
- Strong critical thinking skills in assessing and managing complex patient situations
- Ability to communicate effectively both verbally and in writing
- Strong interpersonal skills
- Works well both independently and as part of an interdisciplinary team, including nurses, physicians, pharmacists, etc.
- Receptive to feedback and implements changes based on team input
- Adaptable to various situations and physician preferences
- Effective organizational skills and attention to detail
- Consistently meets deadlines
- Excellent problem-solving skills; ability to solve issues independently
- Intermediate knowledge of Microsoft Word, Excel, PowerPoint, and other Office programs
- Complies with all legal and regulatory requirements related to healthcare delivery
- Demonstrates a commitment to continuous learning and professional development
- Seeks opportunities for self-improvement and growth in their role
- Possesses a suitable independent/self-directed work environment
Why Join PSPSync?
Be part of an innovative and nimble organization redefining how PSP services are delivered in Canada.
Work in a collaborative and supportive team environment with opportunities for growth.
Competitive compensation package including benefits, mileage reimbursement, and home office support.
Opportunity to make a direct impact on patient access and care outcomes.
Please note: The Company does not use artificial intelligence in the screening, assessment, or selection of applicants for this position. This job posting relates to an existing vacancy.
