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Case Manager
1 week ago
Bayshore HealthCare Markham, ON, CanadaAbout the Role To be an expert point of contact offering case management support services to patients. Assist the patients, physicians, and nurses with the completion of all program-specific paperwork. Act as a resource to physicians who are prescribing medications and patients ...
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Workers Compensation Case Manager
1 week ago
Alight Ontario, Canada RegularRole · Job Description - Worker's Compensation Case Manager · Reporting to the Team Manager, you are responsible for managing WSIB claims and facilitating return to work while working on-site for a client with locations in Cambridge and Woodstock. As part of a multi-disciplinar ...
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Nurse Case Manager
3 weeks ago
Bayshore HealthCare Markham, CanadaJob Description · About the Role · Nurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and to patients. Assist ...
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Nurse Case Manager
3 weeks ago
Bayshore HealthCare Markham, CanadaJob Description · About the Role · The Nurse Case Manager working on the Xospata program funded by Astellas should be a critical thinker, highly skilled at problem resolution, have a strong attention to detail, excel at time management and have solid reimbursement experience wi ...
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Nurse Field Case Manager
2 weeks ago
Pharmaprix Mississauga, Canada Full timeReferred applicants must not apply directly to this role. All referred applicants must use their unique referral link generated when they are referred by an existing colleague. · Location: · 1685 Tech Ave, Mississauga, Ontario, L4W 0A7 At Shoppers Drug Mart, we're innovating he ...
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Nurse Case Manager
2 weeks ago
Bayshore HealthCare Markham, ON, CanadaAbout the RoleThe Nurse Case Manager (NCM) will play an essential role in supporting patients with reimbursement support to physicians and medical case management services to patients. Assist the physician with the completion of all program‐specific paperwork and follow‐up on sub ...
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Nurse Case Manager
2 weeks ago
Bayshore HealthCare Markham, CanadaAbout the RoleThe Nurse Case Manager (NCM) will play an essential role in supporting patients with reimbursement support to physicians and medical case management services to patients. Assist the physician with the completion of all program-specific paperwork and follow-up on sub ...
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Nurse Case Manager
2 weeks ago
Bayshore HealthCare Markham, CanadaAbout the RoleBilingual Nurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and to patients. Assist the physicia ...
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Nurse Case Manager
2 weeks ago
Bayshore HealthCare Markham, CanadaAbout the RoleThe Nurse Case Manager working on the Xospata program funded by Astellas should be a critical thinker, highly skilled at problem resolution, have a strong attention to detail, excel at time management and have solid reimbursement experience with both private and pro ...
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Nurse Case Manager
2 weeks ago
Bayshore HealthCare Markham, CanadaAbout the RoleNurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and to patients. Assist the physician with the ...
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Non-Nurse Case Manager
3 weeks ago
Bayshore HealthCare Markham, CanadaJob Description · About the Role · To be an expert point of contact offering case management support services to patients. Assist the patients, physicians, and nurses with the completion of all program-specific paperwork. Act as a resource to physicians who are prescribing medi ...
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Nurse Case Manager
4 days ago
Bayshore HealthCare Markham, ON, CanadaAbout the Role The Nurse Case Manager (NCM) will play an essential role in supporting patients with reimbursement support to physicians and medical case management services to patients. Assist the physician with the completion of all program‐specific paperwork and follow‐up on s ...
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Non-Nurse Case Manager
4 weeks ago
Bayshore HealthCare Markham, CanadaJob Description · About the Role · To be an expert point of contact offering case management support services to patients. Assist the patients, physicians, and nurses with the completion of all program-specific paperwork. Act as a resource to physicians who are prescribing medi ...
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Nurse Case Manager
1 week ago
Bayshore HealthCare Markham, ON, CanadaAbout the RoleBilingual Nurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and to patients. Assist the physicia ...
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Nurse Case Manager
3 weeks ago
Bayshore HealthCare Markham, ON, CanadaAbout the RoleNurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and to patients. Assist the physician with the ...
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Nurse Field Case Manager
2 weeks ago
Shoppers Drug Mart Mississauga, Canada Full timeReferred applicants must not apply directly to this role. All referred applicants must use their unique referral link generated when they are referred by an existing colleague. · Location: · 1685 Tech Ave, Mississauga, Ontario, L4W 0A7 At Shoppers Drug Mart, we're innovating he ...
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Case Manager
2 weeks ago
Canadian Mental Health Association, York Markham, Canada**Message about our hiring and operating practices** · One of the fastest growing branches of CMHA, the Canadian Mental Health Association York Region and South Simcoe (CMHA-YRSS) provides 30+ mental health and addiction programs to adults, youth (age 12+), family caregivers, loc ...
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Case Manager- ACTT South East
4 weeks ago
Canadian Mental Health Association Markham, Canada Full timeWhy work for CMHA York Region? · We are a team committed to our vision of mental health support for all. We offer an inclusive, innovative and high-performance work culture that helps us deliver transformational impact. The organization cares about the growth, safety and well-be ...
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Case Manager
2 weeks ago
National Healthcare Solutions, Inc. Markham, Canada**Case Manager** · F/T Regular · Newmarket ON CA, Newmarket, ON, CA · **EPIC is searching for TOP TALENT **Epic brings a strong legacy of experience and in-depth knowledge gained from 35+ years in a challenging and ever-evolving marketplace. Part of an award-winning enterprise gr ...
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Non-Nurse Case Manager
4 days ago
Bayshore HealthCare Markham, ON, CanadaAbout the Role To be an expert point of contact offering case management support services to patients. Assist the patients, physicians, and nurses with the completion of all program-specific paperwork. Act as a resource to physicians who are prescribing medications and patients ...
Nurse Case Manager - Markham, ON, Canada - Bayshore HealthCare
Description
About the RoleTo be a point of contact offering support to physicians and medical case management services to patients.Assist the physician with the completion of all program-specific paperwork and follow-up on submissions pertaining to obtaining drug access through various means to ensure patients have access to their prescribed treatments in a timely manner.
Act as a resource to physicians who are prescribing this medication and continuous support for patients via phone for renewals, and coverage changes.
A Day in the LifeComplete outbound and inbound calls to patients, HCPs, and other key players to support patients through their treatment journey.
Gather all pertinent and appropriate information from the prescribing physician to complete any necessary forms in a concise, organized, and professional manner.
Liaise and advocate with client as necessary to determine coverage options.Follow-up/advocate until a decision is received.
Proactively offer counseling, advocacy, and assistance for patients.
Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, the client, and clinics.
Ensure ongoing compliance of medication as well as the completion of ongoing symptom support for patients.
Provide updates to stakeholders as requested.
Participate in ongoing internal and/or external continuing education activities.
Adhere to Bayshore Policies and ProceduresReport and document Adverse Events as per Pharmacovigilance requirementsProvide telehealth support and telephone follow up to patients at specific intervals as set out in the program SOP or SOWGather all pertinent and appropriate information from the chart to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner.
Completes and/or reviews Prior Authorization (PA) or Special Authorization (SA) forms prior to submission to insurers.Liaise and advocate with insurance providers and provincial governments as necessary to determine coverage options.
Proactively offer financial assistanceParticipate 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.
Participate in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns.Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel.
May require travelling on occasionComplete other tasks as requested.
Job QualificationWhat You Bring to the TeamGraduate of Registered Nursing Program or Registered Practical Nursing Program holding current registration from an accredited School of Nursing.
Must have a proven track record with excellent customer services skills internally as well as externally.Experience working with Patient Support Programs (Required)Excellent verbal and written communication skills and interpersonal skills- English & FrenchReimbursement experience (asset)Understanding of provincial and private coverage criteria and how to navigate the Canadian Drug Coverage Landscape.
Familiarity with the Special Authorization process for both public and private insurance in assigned territory.Strong Computer and Technical skills:
Excel, Word, Outlook, tablets, web-portals/internet useMaking decisions using sound judgment, and meeting deadlines.
Accurate data collection and data integrityEase with working in a paperless environment.
Ability to drive for results.
Proven ability to work in a team environment.
Ability to resolve conflict in a professional matter.
Strong sense of organization and attention to detailSelf-regulation of time management and the ability to multi-task and adhere to deadlines.
Familiarity with PIPEDA and how it applies in a confidential patient environment.Ability to travel (as required); own vehicle required.
Office or home-based depending on geographical location.
