Bilingual Field Clinical Case Manager - Montréal, Canada - Bayshore HealthCare

Bayshore HealthCare

Verified Company

Montréal, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

ABOUT THE ROLE:

The Bilingual Field Nurse Case Manager (FNCM) will play an essential role in supporting patients living with a respiratory
disease to improve both their health outcomes and quality of life. Offer enrolment and reimbursement support to
physicians and medical case management services to patients. Assist the physician with the completion of all programspecific paperwork. Follow up on submissions pertaining to obtaining drug reimbursement/coverage through private and
provincial drug formularies to ensure patients have access to their prescribed treatments in a timely manner. Act as a key
resource to physicians who are prescribing this medication and provide continuous support for renewals and coverage
changes.

A DAY IN THE LIFE

Assist the prescribing physician to complete patient enrolment; including onsite visits to the physician's office to

gather 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 thirdparty providers and provincial governments as necessary to determine coverage options
Review patient charts in physician office (paper and electronic based); keep electronic charts
Ensure patients are scheduled for blood work and notify physicians of expired blood work results
Complete Welcome Call activities with the patient according to defined scripts
Facilitate any required communication with physicians, Patient Support Programs, or other health care professionals

involved in the patient's circle of care

Follow up/advocate until a decision is received, ideally securing coverage for the patient
Work closely with the manufacturer local sales representatives to support specific physician's and staff needs
Offer and/or provide educational training to patients and physicians on product's administration
Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics
Provide updates to stakeholders based on observations, including those gathered in the field (physicians' offices)
Ensure patient records are maintained and dataaccurate 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 client and corporate information and discuss same only with appropriate Bayshore personnel
Travel to physicians' offices on a regular basis as requested by those offices
Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore's

policy

Complete product complaint reports Adhere to Bayshore and manufacturer Policies and Procedures Job Qualification

What You Bring to the Team:

Registered Nurse or Registered Practical Nurse (RN/RPN) license
Bilingual in French and English
Registered and in good standing with the College of Nurses
Minimum 2 years' experience in Patient Support Programs
Providing excellent customer service skills internally as well as externally
Excellent verbal and written communication skills and interpersonal skills; English and French if servicing Quebec or New

Brunswick

Reimbursement experience
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 use
Strong critical thinking and problemsolving skills
Making decisions using sound judgment
Accurate data collection and data integrity
Ease 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 detail
Selfregulation of time management and the ability to multitask and adhere to deadlines
Familiarity with PIPEDA and how it applies in a confidential patient environment
Valid driver's license with less than 2 infractions in the past 2 years