Bilingual Nurse Case Manager (BC/AB) / Gestionnaire bilingue de cas en soins infirmiers (BC/AB)

BioScript Solutions • , AB

13d • Hybrid

About The Position

We are looking for an engaged individual to take on the role of a Bilingual Nurse Case Manager. This role is responsible for undertaking the management of specific cases that are assigned to them in regards to patient reimbursement and coordination for the NavieGo branch of the organization. The Bilingual Nurse Case Manager is responsible for overall management of their patient cases and acts as a one point of contact to their assigned health care providers.

Requirements

• Post-secondary education or equivalent experience.
• Qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse (valid license)
• Minimum of 2 years’ experience in customer/client service and health care reimbursement.
• Bilingualism (French and English) is a requirement
• Demonstrated ability to maintain confidentiality when handling sensitive information.
• Strong proficiency in Microsoft and Google applications (Google apps, Word, Excel).
• Able to work rotating shifts Monday through Friday, covering the hours of 8 AM to 8PM.
• English proficiency is required for this position to effectively communicate with internal and external stakeholders.

Nice To Haves

• Prior experience in oncology is preferred.
• Experience in the healthcare, pharmaceutical, or insurance industry is an asset.

Responsibilities

• Facilitate the entire patient journey, ensuring seamless communication between all parties involved.
• Serve as the single point of contact for assigned healthcare providers, addressing inquiries related to patient cases.
• Coordinate and manage all aspects required to obtain prescription drug coverage for patients.
• Complete documents, submissions and all related paperwork to insurance companies and public funding programs in an accurate and timely manner.
• Coordinate cases with insurance companies, physician’s offices, and healthcare professionals in order to assist a patient in their journey on treatment.
• Coordinate clinic appointments and drug deliveries within timelines.
• Provide support and guidance to patients and healthcare providers throughout the reimbursement process, while building relationships that foster trust.
• Implement best practices as required to maximize a patient's access to drug coverage.
• Coordinate with pharmacy processes required once funding has been obtained.
• Apply an in-depth knowledge of public and private funding systems.
• Collaborate with internal teams to streamline processes and improve efficiency in reimbursement process.
• Continuously strive to enhance the overall patient experience and satisfaction with the reimbursement process.

Benefits

• Competitive salary, incentive program, and comprehensive benefits package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree