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

    Bayshore HealthCare
    Bayshore HealthCare Montréal, Canada

    3 weeks ago

    Bayshore HealthCare background
    TEMPORARY
    Description
    About the Role


    The Bilingual Field Nurse Case Manager (FNCM) will play an essential role in supporting patients living with a dermatological disease to improve both their health outcomes and quality of life.

    FNCM offers enrolment and 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 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 continuous support for renewals, and coverage changes.

    A Day in the Life


    Assist the prescribing physician to complete patient enrolment; including on-site visits to the physician 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 third-party 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 Assistant Programs or other health care professionals involved in the patients' 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 in the field and physician's
    Ensure patient records are maintained and data accurate to meet program reporting requirements.
    Must be able to identify and report AE's 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
    Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel
    Requires traveling to physician's offices on a regular basis as requested by the physician's office
    Completes 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
    Complete other tasks as requested
    Job Qualification

    What You Bring to the Team

    Registered Nurse or Registered Practical Nurse (RN/RPN) License
    Preference with Candidates that have experience with the disease state
    Registered and in good standing with the College of Nurses
    Minimum 2 years' experience in Patient Support Programs
    Providing excellent customer services skills internally as well as externally
    Excellent verbal and written communication skills and interpersonal skills
    Must be fluent and bilingual in French and English
    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 problem solving skills
    Making decisions using sound judgment, and meeting deadlines.
    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
    Self-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.
    Valid driver's license with less than 2 infractions in the past 2 years
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