Nurse Case Manager

ManagerManagerFull TimeRemoteLeadTeam 10,001

Location

Canada

Posted

4 days ago

Salary

0

Seniority

Lead

No structured requirement data.

Job Description

Nurse Case Manager

Bayshore

Role Description Agir à titre d’infirmier(ère) chargé(e) de la gestion des cas en offrant des services de gestion de cas médicaux aux patient(e)s et aux professionnels de la santé. Aider le (la) médecin à remplir tous les documents spécifiques au programme afin de garantir aux patient(e)s un accès à leurs traitements prescrits en temps opportun. Servir de ressource aux médecins qui prescrivent ces médicaments et offrir un soutien continu aux patient(e)s pour le suivi, les renouvellements et les changements de couverture. Qualifications - Diplômé(e) d’un Programme d’infirmier(ère) autorisé(e) ou d’un Programme d’infirmier(ère) auxiliaire autorisé(e)/immatriculé(e), titulaire d’une autorisation d’exercer en vigueur délivrée par un organisme provincial de réglementation au Canada. - Inscrit(e) et en règle auprès de l’organisme provincial de réglementation. - Au moins deux ans d’expérience dans des Programmes de soutien aux patient(e)s ou l’équivalent. - Expertise démontrée dans la prestation d’un service à la clientèle exceptionnel et dans l’établissement de relations positives avec les parties prenantes internes et externes. - Maîtrise de la communication verbale et écrite et des compétences interpersonnelles en anglais et en français (pour les provinces/régions ayant des exigences de service en français). - La compréhension des critères de couverture provinciaux et privés, des processus d’autorisation spéciale et de la façon de s’orienter dans le paysage de la couverture des médicaments au Canada est un atout. - Compétences informatiques et techniques solides : Excel, Word, Outlook, tablettes électroniques, portails Web/utilisation d’Internet. - Excellentes compétences en matière de réflexion critique et de résolution de problèmes. - Capacité à prendre des décisions en faisant preuve de discernement. - Aptitude à collecter des données de manière précise et à assurer leur intégrité. - Facilité à travailler dans un environnement sans papier. - Capacité à se dépasser pour obtenir des résultats. - Capacité avérée à travailler en équipe. - Capacité à résoudre les conflits de manière professionnelle. - Sens aigu de l’organisation et souci du détail. - Gestion autonome du temps et capacité à effectuer plusieurs tâches simultanément tout en respectant les délais. - Connaissance de la LPRPDE et de son application dans un environnement confidentiel lié aux patient(e)s. - Aptitude à travailler dans un environnement de travail calme avec une capacité avérée à travailler de manière autonome au sein d’une équipe dans un environnement de télétravail/virtuel. - Accès Internet haute vitesse établi au bureau à domicile. Requirements - Assist in completing patient enrolment; including gathering all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner. - Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options. - Ensure patients are scheduled for necessary diagnostic tests and notify physicians of any expired test results that require follow-ups. - Complete Welcome Call activities with the patient according to defined scripts. - Provide patients and physicians with direct toll-free number. - Review post visit reports to confirm next appointment is scheduled and data integrity of the report against the physician order, if applicable. - Track missing post visit reports, if applicable. - Facilitate any required communication with physicians, Patient Support Programs, or other health care professionals involved in the patient’s circle of care. - Follow up and advocate until a decision is received, ideally securing coverage for the patient, if applicable. - Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs, if applicable. - Offer and/or provide educational training to patients and physicians on product(s). - Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics. - Coordinate and schedule patients at appropriate visit locations (home, clinic, etc.), if applicable. - Provide updates to internal and external stakeholders based on observations. - Ensure patient records are maintained and data-accurate to meet program reporting requirements. - Must be able to identify and report Adverse Events to Health Canada, Med Info, and enter into source system and third-party systems. - Report and document Adverse Events as per Pharmacovigilance requirements. - Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System as well as specific performance indicators for the project. - Maintain confidentiality of pharmaceutical partner(s) and corporate information and discuss only with appropriate Bayshore personnel. - Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore’s policy, if applicable. - Complete product complaint reports. - Adhere to Bayshore and manufacturer Policies and Procedures. - Complete other tasks, as requested. 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