Bilingual Nurse Case Manager - East Coast (Remote)

Sentrex Health Solutions

33d • Remote

About The Position

The Bilingual Nurse Case Manager (NCM) is an integral part of the Patient
support team, responsible for the coordination and delivery of services related
to the patient support programs offered by Sentrex Health Solutions. The NCM is
responsible for managing all aspects of program support and will act as a
primary point of contact to their assigned health care providers (HCP) and
ensures patients are provided easy access to the support program and to their
drug therapy. In addition, this role involves interactions with patients,
insurance companies, pharmacies, physicians, and other health care professionals
(HCPs) to explore and obtain coverage for the prescribed medication as well as
management of the patient cases.

Requirements

• Must be an RN or RPN in good standing with the College of Nurses of their respective province
• Minimum 2 years of experience of clinical experience (preferred)
• Bilingualism (English and French) is required.

Nice To Haves

• Experience in Patient Support Program is an strong asset
• Reimbursement knowledge to obtain coverage for patients an asset
• Experience in neurology is an asset

Responsibilities

• Perform HCP and patient registration activities, according to program protocols and applicable departmental procedures.
• Process data entry activities of pertinent information received at different points of contact during the delivery of program services.
• Provide answers to general inquiry calls submitted via telephone or web-based platforms on program services, disease state or product related questions, based on information provided as part of the program materials.
• Provide medical support to patients and health care providers, including but not limited to education on specific diseases and therapies and disease management, based on the information provided as part of the program materials.
• Prepare for and attend extensive, specialized training sessions for specific therapies provided by the pharmaceutical team.
• Telephone support (including maintenance calls and adherence support both inbound and outbound as needed).
• Administer and adhere to case-management protocols, including clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers.
• Work directly with the reimbursement specialist and the physician to secure funding for their patient’s therapies; assist with alternative funding searches when needed.
• Attend patient meetings, conferences as needed to educate patients, providers regarding disease/product information and case management services.
• Must be able to identify and report AE’s to the Manufacturer, Med Info and enter source system and third-party systems, within respective timelines.
• Maintains confidentiality of patient, client and corporate information and discusses same only with appropriate personnel.
• Liaise with physicians’ offices, pharmacies, infusion/injection services providers and other parties to provide comprehensive and coordinated service to patients and physicians and resolve issues as they arise.
• Participate in ongoing internal and/or external continuing education activities.
• Development of training material and programs for new PSP team members.
• Adhere to Sentrex Health Solutions Policies and Procedures.
• Perform patient enrolment into the program and complete required follow-ups, according to program protocols and applicable departmental procedures.
• Proactively offer support and advocacy to patients and HCP which includes but is not limited to enrollment, facilitation of coverage renewals, and changes throughout the patient journey, as well as facilitating reimbursement support to physicians and patients.
• Provide ongoing support on disease state or product related questions, based on information provided as part of the program materials to ensure patient adherence, as dictated by the needs of the patient.
• Review, analyze and validate information provided by patients for accuracy and completeness to ensure initiation and continuation of services.
• Follow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to patients.
• Follow‐up/advocate until a decision is received, ideally securing coverage for the patient.
• Report and document Adverse Events as per training on updated Pharmacovigilance requirements.
• Adhere to Sentrex Policies and Procedures.
• Additional duties as determined by your Manager.

Benefits

• Competitive Salary and generous vacation entitlement
• Wellness Program (5 paid days off for your well-being!)
• Paid Sick Days
• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
• Employee & Family Assistance Program
• RRSP Matching Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 101-250 employees