Field Nurse Case Manager / Infirmier(ère) gestionnaire de cas

BioScript Solutions•Oakville, ON

19d•Remote

About The Position

Empowering lives, healing hearts, embracing future Are you ready to make a lasting impact in specialty care? We’re seeking a dedicated and dynamic Field Nurse Case Manager to join our Patient Support Programs at BioScript Solutions, where we put our patients first! At BioScript, we're not just a company—we're a fast-growing company always putting patients first. Recognized as one of Canada’s Best Managed Companies, we believe in pushing boundaries, setting trends, and creating meaningful experiences that captivate and inspire. Our vibrant team is made up of innovative minds who are passionate about driving success and making an impact. Ready to be a part of this exhilarating journey? We are looking for a motivated individual to fill the position of nurse case manager. The successful candidate will be responsible for managing specific cases entrusted to them related to patient reimbursement and coordinating cases with the company's NavieGo department. The bilingual case manager nurse will be responsible for the overall management of patient cases and will act as a single point of contact for the healthcare providers designated to them. At BioScript Solutions, we are committed to simplifying access to specialized care for people with chronic and rare diseases. From our headquarters in Atlantic Canada, we have become a national network comprising 13 pharmacies, a hundred Coverdale clinics, and comprehensive patient support programs (NavieGo) serving thousands of people across the country. Together, with our logistics services and A&D wholesale operations, we are proud to be a Canadian leader in the specialized care sector.

Requirements

Bilingualism - English/French - is an asset
Registered Nurse designation and current provincial licensing is required
Experience in the healthcare, pharmaceutical, or insurance industry is an asset
Minimum of 2 years’ experience in customer/client service and health care reimbursement experience
Strong proficiency in Microsoft and Google applications (Google apps, Word, Excel)
Professional/courteous/efficient telephone manner
Proven ability to organize time, set priorities, and multi-task in order to meet various competing work deadlines
Strong communication and interpersonal skills
Ability to work independently and in a team environment
Ability to resolve issues effectively and efficiently
Critical thinking and problem solving abilities
Able to work rotating shifts Monday through Friday, supporting various regions of Canada
Être bilingue (anglais et français) est un requis
Avoir le titre professionnel d’infirmier(ère) autorisé(e) ou d’infirmier(ère) auxiliaire autorisé(e) et un permis provincial valide est exigé.
Avoir de l’expérience dans le secteur des soins de santé, l’industrie pharmaceutique ou le secteur des assurances est un atout.
Avoir au moins deux (2) ans d’expérience en service à la clientèle et une expérience en remboursement des soins de santé.
Posséder une solide maîtrise des applications de Microsoft et Google (Google Apps, Word, Excel).
Faire preuve de professionnalisme, de courtoisie et d’efficacité lors des appels téléphoniques.
Avoir la capacité éprouvée d’organiser son horaire, d’établir l’ordre des priorités, et d’exécuter plusieurs tâches à la fois afin de respecter les diverses échéances concurrentes.
Posséder d’excellentes compétences en communication et faire preuve d’entregent.
Être capable de travailler seul et au sein d’une équipe.
Être capable de régler des problèmes de façon efficace et efficiente.
Posséder une aptitude à la pensée critique et à la résolution de problèmes.
Pouvoir travailler sur des quarts rotatifs du lundi au vendredi pour appuyer diverses régions du Canada.

Nice To Haves

Bilingualism - English/French - is an asset
Experience in the healthcare, pharmaceutical, or insurance industry is an asset

Responsibilities

Be responsible for the entire coordination of the patient journey
Occasional travel for on-site clinic visits
Acting as the Primary point of contact for physicians to enroll patients into a NavieGo managed program
Establishing and maintaining a strong, trusting relationship with assigned clinics and physicians including site visits
Acting as the main resource for NavieGo to request missing or additional information from respective physician offices, pharmacies, and/or other Health Care providers
Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients
Coordinate cases with insurance companies, physician' offices and healthcare professionals in order to assist a patient in their journey on treatment
Coordinate documents, submissions and all related paperwork to insurance companies and public funding programs
Coordinate clinic appointments and drug deliveries within timelines
Foster and build relationships with patients and key health care providers
Implement best practices as required in an effort 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 / private funding systems
Able to work rotating shifts Monday through Friday, covering the hours of 8 AM to 8 PM EST
S’occuper de la coordination de tous les aspects du parcours de traitement du patient.
Coordonner et gérer tous les aspects nécessaires des cas afin d’assurer que les patients ont accès à une couverture des médicaments d’ordonnance.
Coordonner les cas avec les compagnies d’assurance, les bureaux de médecin et les professionnels de la santé afin d’aider le patient pendant son parcours de traitement.
Coordonner les documents, les soumissions et toute la documentation connexe aux compagnies d’assurance et aux programmes de financement publics.
Coordonner les rendez-vous à la clinique et la délivrance des médicaments dans les délais appropriés.
Établir et renforcer des liens avec les patients et les fournisseurs de soins clés.
Appliquer les pratiques exemplaires telles que requises afin de maximiser la couverture des médicaments pour le patient.
Coordonner avec les processus pharmaceutiques nécessaires une fois le financement accordé.
Appliquer ses connaissances approfondies des systèmes de financement publics et privés.
Effectuer d’autres fonctions et tâches selon les besoins.