Nurse Case Manager

Bayshore • Montreal, QC

14d • Remote

About The Position

The Nurse Case Manager (NCM) will play an essential role in supporting patients living with a neurological/rare disease to improve both their health outcomes and quality of life. The NCM offers enrolment and reimbursement support to physicians and medical case management services to patients. The role involves assisting physicians with program-specific paperwork and following up on submissions for drug reimbursement/coverage through private and provincial drug formularies to ensure timely patient access to prescribed treatments. The NCM acts as a key resource for prescribing physicians, providing continuous support for renewals and coverage changes. Occasional travel within Canada for offsite meetings (2-3 times per year) and travel to physicians’ offices with the client’s Key Account Manager may be required.

Requirements

• Graduate of a registered Nursing Program or registered practical nursing program.
• Holding current registration from a provincial licensing body in Canada.
• Registered and in good standing with their provincial regulatory body.
• Minimum 2 years’ experience in Patient Support Programs or equivalent.
• Demonstrated expertise in delivering exceptional customer service and fostering positive relationships with internal and external stakeholders.
• Fluent in verbal and written communication and interpersonal skills in both English and French (for provinces/regions with French language service requirements).
• Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet use.
• Strong critical thinking and problem-solving skills.
• Ability to make decisions using sound judgment.
• Proficient with 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 manner.
• 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 its application in a confidential patient environment.
• Ability to work in a quiet working environment.
• Proven ability to work autonomously within a remote/virtual team environment.
• Established high-speed internet access from a home office.

Nice To Haves

• Understanding of provincial and private coverage criteria, Special Authorization processes, and how to navigate the Canadian drug coverage landscape.

Responsibilities

• Assist in completing patient enrolment, including gathering pertinent information for necessary forms (private and/or provincial insurance).
• Liaise and advocate with third-party providers and provincial governments to determine coverage options.
• Ensure patients are scheduled for necessary diagnostic tests and notify physicians of expired test results requiring follow-up.
• Complete Welcome Call activities with patients according to defined scripts.
• Provide patients and physicians with a direct toll-free number.
• Review post-visit reports to confirm next appointment scheduling and data integrity against physician orders.
• Track missing post-visit reports.
• Facilitate communication with physicians, Patient Support Programs, or other healthcare professionals involved in the patient’s care.
• Follow up and advocate until a coverage decision is received for the patient.
• Collaborate with the manufacturer's local sales representatives to support physician and staff needs.
• Offer and/or provide educational training to patients and physicians on product(s).
• Act as a central resource liaison for program stakeholders including physicians, nurses, patients, and clinics.
• Coordinate and schedule patient visits at appropriate locations (home, clinic, etc.).
• Provide updates to internal and external stakeholders based on observations.
• Maintain patient records and ensure data accuracy for program reporting requirements.
• Identify and report Adverse Events to Health Canada, Med Info, and enter them into source and third-party systems.
• Report and document Adverse Events as per Pharmacovigilance requirements.
• Participate in quality activities and continuous improvement initiatives.
• Maintain confidentiality of pharmaceutical partner and corporate information.
• Complete relevant reports (time sheets, expenses, mileage, etc.) within specified timelines and according to policy.
• Complete product complaint reports.
• Adhere to Bayshore and manufacturer Policies and Procedures.
• Complete other tasks as requested.

What This Job Offers

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