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    Nurse Case Manager - Toronto, ON, Canada - Bayshore HealthCare

    Bayshore HealthCare
    Bayshore HealthCare Toronto, ON, Canada

    1 week ago

    Bayshore HealthCare background
    Description
    This "remote" position will be a point of contact offering case management support services to patients. Assist the patients, physicians, and nurses with the completion of all program-specific paperwork if needed for PSP Hub Programs. Act as a resource to physicians who are prescribing medications and patients who need on-going support.

    DUTIES AND RESPONSIBILITIES

    • Ensure patient has been enrolled through support program /PSP Hub Program.
    • Keep detailed notes in the patient's electronic chart.
    • Follow-up/advocate until a decision is received to secure coverage for the patient. Completes and/or reviews SA forms prior to submission to insurers.
    • Prepare all related paperwork to payors public, private & federal alike.
    • Work with the site representatives to support specific customer needs.
    • Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.
    • Provide updates to stakeholders as requested and required.
    • Perform data-entry, answer inbound calls, make outbound calls, and manage email and fax software, general administrative functions including faxing and filing.
    • Must be able to identify and report AEs to Health Canada (if applicable) and enter into source system and third party systems.
    • Report and document Adverse Events as per Pharmacovigilance requirements.
    • Participate in ongoing internal and/or external continuing education activities.
    • Adhere to Bayshore Policies and Procedures.
    • 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.
    • 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.
    • Complete other tasks as requested.
    Job QualificationEducation

    • Excellent verbal and written skills on English and French.
    • Post-secondary education or equivalent.
    Experience

    • Experience in the Healthcare, pharmaceutical or insurance industry would be an asset.
    • Solid reimbursement experience.
    • Strong customer service, communication, problem solving skills required.
    Other Skills and Abilities

    • Comfortable working in a contact center environment.
    • Proficient in Microsoft Office applications (Outlook, Word & Excel).
    • Organized with a high attention to detail.
    Bayshore is committed to a high quality and safe environment for both our staff and clients/patients.

    Dependent upon Provincial government regulations, and the position being applied for, new hires may be required to provide proof of vaccination against illnesses such as COVID-19, Hepatitis, Seasonal Flu etc.

    Please speak with the recruiter for Provincial and/or position specific requirements.

    Medical exemptions or any other kinds of requested exemptions based upon Human Rights Code will be considered on a case-by-case basis."At Bayshore Healthcare, our commitment to Equity, Diversity & Inclusion is our strength.

    This is how we bring our vision of being the difference in the lives of those we care for, work with and in our communities.

    We have a great sense of pride in creating a culture of belonging, where individual differences are embraced and celebrated, through programs, resources and policies that support each individuals purpose, potential and wellbeing."Bayshore operates in accordance with the Accessibility for Ontarians with Disabilities Act, and applicable Provincial Human Rights Codes.

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