Case Manager Jobs

About The Position

Requirements

• A Diploma in health care or a related field, with a preference for Bachelor’s degree
• 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;
• 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.
• The Nurse Case Manager will also be assigned other duties and tasks as required from time to time.
• May be required to be on standby/ on call as part of this role.