Nurse Case Manager

CencoraRemote, ON
$61,400 - $94,490Onsite

About The Position

This posting is intended to fill an existing vacancy for our Nurse Case Manager role. The Nurse Case Manager will provide support to patients and healthcare providers by offering information on Patient Support services, specific diseases, and therapies. They will act as a liaison between patients, families, and healthcare providers regarding medication access, address general inquiries, and offer continuous support to ensure patient adherence. The role involves documenting patient information, conducting file reviews, following case-management protocols, and collaborating with reimbursement specialists and physicians to secure funding for therapies. The Nurse Case Manager will also coordinate with healthcare providers, pharmacies, and clinics for treatment logistics, maintain communication with management, and assist in training new Nurse Case Managers. Reporting Adverse Events and other assigned duties are also part of the role, with potential standby/on-call responsibilities.

Requirements

  • Licensed Nurse (RN or RPN/LPN) with active registration from the College of Nurses in the province of employment is required.
  • Minimum of two (2) to five (5) years in the healthcare, pharmaceutical, insurance or related fields.
  • Ideal candidates should be nurses with healthcare and case management background in medical/hospital settings, insurance or bio-pharmaceutical industry.

Nice To Haves

  • A Diploma in health care or a related field, with a preference for Bachelor’s degree
  • Fluency in French and/or English may be required depending on program and geographic location.

Responsibilities

  • Provide support to patients and health care providers by offering information on the Patient Support services, specific diseases, and therapies based on manufacturer provided materials and product monograph.
  • Assist patients and caregivers in conducting assessments related to Patient Support services.
  • Act as a liaison between patients, families and health care providers related to medication access.
  • Address general inquiries regarding program services, disease states, or product related queries based on provided materials.
  • Offer continuous support on disease states or product-related questions to ensure patient adherence.
  • Refer the patient to their healthcare providers for clinical questions beyond program materials.
  • Document patient information and interactions within the electronic patient record.
  • Conduct ongoing file review and updates to reflect patient journey.
  • Follow case-management protocols, including data collection, patient follow-up, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers.
  • Collaborate with the reimbursement specialist and the physician to secure funding for their patient’s therapies and explore alternative funding options.
  • Ensure patient services are coordinated and tracked, according to KPI’s, resulting in expedited access to therapy.
  • Participate in specialized training sessions for specific therapies provided by the pharmaceutical team.
  • Attend pharmaceutical meetings, patient meetings, conferences, and work with patient associations and advocacy groups as needed.
  • Coordinate with health care providers, pharmacies and infusion/injection clinics for treatment logistics and issue resolution.
  • Maintain clear communication with the manager, team and the client regarding the management of patient cases.
  • Assist in the training process of new Nurse Case Managers and provide feedback on protocols, databases, processes and inter-departmental processes.
  • Report Adverse Events / Severe Adverse Events following program procedures.
  • May be required to be on standby/ on call as part of this role.

Benefits

  • Cencora is committed to fair and accessible employment practices. When requested, Cencora will accommodate people with disabilities during the recruitment, assessment and hiring processes and during employment.
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