Field Nurse Case Manager (AB/BC)

BioScript Solutions•, AB

18d•CA$84,000 - CA$95,000•Hybrid

About The Position

We are looking for an engaged individual to take on the role of Field 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 Field 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

Registered Nurse designation and current provincial licensing is required
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
Bilingualism (French and English) is required for this position to effectively communicate with internal and external stakeholders.

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