Case Manager - Vancouver, Canada - Sentrex Health Solutions Inc.

Sentrex Health Solutions Inc.
Sentrex Health Solutions Inc.
Verified Company
Vancouver, Canada

2 weeks ago

Sophia Lee

Posted by:

Sophia Lee

beBee Recruiter
Description

Position Type:
Full Time


Department:
Patient Programs


Work Location:
Vancouver, British Columbia


Work Arrangement:
In-Office (5 days a week)


Work Hours:
Standard Business Hours - Monday to Friday


Travel Required:
No


A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients.

We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes.

We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology, a dedicated in-house creative agency, and experienced, cross-functional teams.

Our core capabilities include
Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, Strategic Creative Services as well as HCP & Clinic Services.



Come and join our team But first, let us tell you why we love working here:

  • We are 100% Canadian with locations across the country
  • Stateoftheart facilities to provide highquality products and services
  • The opportunity to be a part of a winning, highperforming team
  • Collaborative, engaging workplace culture
    we are passionate about our people
  • Flexible working environment that promotes a healthy worklife balance
  • Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued
  • Highgrowth environment that provides opportunities for learning and growth supported by our Employee Development Program and industryleading, inhouse corporate training offered throughout the year
  • Quarterly virtual social events

The Opportunity:


The Case Manager is responsible for managing all the aspects of the enrollment, reimbursement process, and service coordination for patients who has been prescribed the drug by physicians.

The Case Manager will provide drug coverage support to physicians and patients, follow up on submissions pertaining to obtaining coverage through private and provincial drug plans, ensure patients have access to their prescribed treatments in a timely manner, and provide continuous support for patients through excellent communication skills and available resources to ensure patients have easy access to their prescribed therapy.


The Case Manager will also act as primary point of contact for their assigned health care providers (HCPs) and clinics, responsible for supporting their operational needs.


A Day in the Life (What you will do here):

Case Management

  • Responsible for the timely enrollment of the patient into the Patient Support Program.
  • Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.
  • Reviews the patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.
  • Provides therapy guidelines/education on the program to manage patient and physician expectations.
  • Collects information and conducts patient financial assessment eligibility based on program guidelines.
  • Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.
  • Reports Adverse Events/Severe Adverse Events (AE/SAEs) following approved SOPs.
  • Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported within twentyfour hours of receipt, and any other KPIs established as the Program level.
  • Electronically updates the Customer Relationship Management (CRM) tool by providing timely patient and clinic information.
  • Fosters and promotes a spirit of teamwork while working with internal patient support teams.
  • Acts a liaison and provides ongoing feedback to the Program Manager basedon observations in the field and feedback from customers as it pertains to the quality of services, training, and other areas of importance.
  • Identifies obstacles to obtaining coverage and channels this information to the Program Manager and/or Assistant Program Manager.
  • Completes all relevant reports (timesheets, expenses, mileage, validate CRM reports, etc.) as per specified timelines and as per required standards.
  • Additional duties as requested by the Manager.

What you need to ensure you are set up for success:

  • A Bachelor's degree
-
Bilingualism (English and French) is strongly preferred:


  • Experience working on a Multiple Sclerosis Program is a strong asset:
  • 12 years of experience in a Patient Support Program or Specialty Pharmacy
  • Experience with reimbursement billing, special access, the appeals process, and conducting field
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