Field Nurse Case Manager

Bayshore•British Columbia, BC

15d•Onsite

About The Position

The Field Nurse Case Manager serves as a dedicated single point of contact for patients and physicians within the Bayshore Specialty Rx Patient Support Program. This role supports patients throughout their entire program journey by coordinating care, facilitating access to coverage, and ensuring timely communication among all stakeholders involved in the patient’s circle of care. The Field Nurse Case Manager works collaboratively in a fast-paced, team-oriented environment, demonstrating accountability, strong clinical judgment, and a commitment to delivering a positive patient and customer experience. This position requires a high level of organization, attention to detail, and adherence to quality, confidentiality, and pharmacovigilance standards.

Requirements

Registered Nurse or Registered Practical Nurse (RN/RPN) license.
Registered and in good standing with the College of Nurses.
Minimum 2 years’ experience in Patient Support Programs.
Providing excellent customer services skills internally as well as externally.
Reimbursement experience
Understanding of provincial and private coverage criteria and how to navigate the Canadian Drug Coverage Landscape.
Familiarity with the Special Authorization process for both public and private insurance in assigned territory.
Strong computer and technical skills: Excel, Word, Outlook, tablets, web-portals/internet use.
Strong critical thinking and problem-solving skills.
Making decisions using sound judgement, and meeting deadlines.
Accurate data collection and data integrity.
Ease with working in a paperless environment.
Ability to drive for results.
Proven ability to work in a team environment.
Ability to resolve conflict in a professional matter.
Strong sense of organization and attention to detail.
Self-regulation of time management and the ability to multi-task and adhere to deadlines.
Familiarity with PIPEDA and how it applies in a confidential patient environment.
Valid driver’s license with less than 2 infractions in the past 2 years

Nice To Haves

Preference with candidate that have experience with the product.

Responsibilities

Assist the prescribing physician to complete patient enrolment; including on-site visits to the physician office to gather all pertinent and appropriate information to complete the necessary forms (private and/ or provincial insurance) in a concise, organized and professional manner.
Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options.
Review patient charts in physician office (paper and electronic based); keep electronic charts.
Ensure patients are scheduled for blood work and notify physicians of expired blood work results.
Complete Welcome Call activities with the patient according to defined scripts.
Facilitate any required communication with physicians, Patient Assistant Programs or other health care professionals involved in the patients’ circle of care.
Follow-up/ advocate until a decision is received, ideally securing coverage for the patient.
Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs.
Offer and/ or provide educational training to patients and physicians on product’s administration.
Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients and clients.
Provide updates to stakeholders based on observations in the field and physicians.
Ensure patient records are maintained and data accurate to meet program reporting requirements.
Ensure timely and compliant reporting of Adverse Events (AEs) and Product Quality Complaints (PQCs) in accordance with Health Canada pharmacovigilance requirements and guidelines, including accurate documentation, appropriate escalation, and effective collaboration with internal stakeholders and regulatory teams.
Report and document Adverse Events as per Pharmacovigilance requirements.
Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System as well as specific performance indicators for the project.
Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel.
Requires traveling to physician’s offices on a regular basis as requested by the physician’s office.
Completes all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore’s policy.
Complete product complaint reports.
Adhere to Bayshore and manufacturer policies and procedures.
Complete other tasks as requested