Nurse Case Manager at Bayshore

Canada

<p><span style="font-family:Arial;"><strong>JOB SUMMARY</strong></span><br><span style="font-family:Arial;">The Nurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life and support people who could benefit from PrEP, for the prevention of HIV. NCM offers enrolment and reimbursement support to physicians and to patients. Assist the physician with the completion of all program-specific paperwork and follow-up on submissions pertaining to obtaining drug reimbursement/coverage through private and provincial drug formularies to ensure patients have access to their prescribed treatments in a timely manner. Act as a key resource to physicians who are prescribing this medication and continuous support for renewals, and coverage changes. NCM will also supervise the coordination of monthly injection.</span><br><br><span style="font-family:Arial;"><strong>DUTIES AND RESPONSIBILITIES</strong></span><br><span style="font-family:Arial;">• Assist in completing patient enrolment; including gathering all pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner.</span><br><span style="font-family:Arial;">• Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options.</span><br><span style="font-family:Arial;">• Ensure patients are scheduled for necessary diagnostic tests and notify physicians of any expired test results that require follow-ups.</span><br><span style="font-family:Arial;">• Complete Welcome Call activities with the patient according to defined scripts.</span><br><span style="font-family:Arial;">• Provide patients and physicians with direct toll-free number.</span><br><span style="font-family:Arial;">• Review post visit reports to confirm next appointment is scheduled and data integrity of the report against the physician order, if applicable.&nbsp;</span><br><span style="font-family:Arial;">• Track missing post visit reports, if applicable.&nbsp;</span><br><span style="font-family:Arial;">• Facilitate any required communication with physicians, Patient Support Programs, or other health care professionals involved in the patient’s circle of care.</span><br><span style="font-family:Arial;">• Follow up and advocate until a decision is received, ideally securing coverage for the patient, if applicable.</span><br><span style="font-family:Arial;">• Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs, if applicable.</span><br><span style="font-family:Arial;">• Offer and/or provide educational training to patients and physicians on product(s).</span><br><span style="font-family:Arial;">• Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.</span><br><span style="font-family:Arial;">• Coordinate and schedule patients at appropriate visit locations (home, clinic, etc.), if applicable.</span><br><span style="font-family:Arial;">• Provide updates to internal and external stakeholders based on observations.</span><br><span style="font-family:Arial;">• Ensure patient records are maintained and data-accurate to meet program reporting requirements.</span><br><span style="font-family:Arial;">• 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.</span><br><span style="font-family:Arial;">• 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.</span><br><span style="font-family:Arial;">• Maintain confidentiality of pharmaceutical partner(s) and corporate information and discuss same only with appropriate Bayshore personnel.</span><br><span style="font-family:Arial;">• Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore’s policy, if applicable.</span><br><span style="font-family:Arial;">• Complete product complaint reports.</span><br><span style="font-family:Arial;">• Adhere to Bayshore and manufacturer Policies and Procedures.</span><br><span style="font-family:Arial;">• Complete other tasks, as requested.</span></p><br><br><p><span style="font-family:Arial;"><strong>QUALIFICATIONS</strong></span><br><span style="font-family:Arial;"><strong>Education</strong></span><br><span style="font-family:Arial;">• Graduate of registered Nursing Program or registered practical nursing program holding current registration from a provincial licensing body in Canada.</span><br><span style="font-family:Arial;"><strong>Experience&nbsp;</strong></span><br><span style="font-family:Arial;">• Registered and in good standing with their provincial regulatory body.</span><br><span style="font-family:Arial;">• Minimum 2 years’ experience in Patient Support Programs or equivalent.</span><br><span style="font-family:Arial;">• Demonstrated expertise in delivering exceptional customer service and fostering positive relationships with internal and external stakeholders.</span><br><span style="font-family:Arial;">• This position requires bilingual proficiency in French and English (spoken and written) due to operational, client, and regulatory requirements.</span><br><span style="font-family:Arial;">• Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset.</span><br><span style="font-family:Arial;">• Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet use.</span><br><span style="font-family:Arial;">• Strong critical thinking and problem-solving skills.</span><br><span style="font-family:Arial;">• Making decisions using sound judgment.</span><br><span style="font-family:Arial;">• Proficient with accurate data collection and data integrity.</span><br><span style="font-family:Arial;">• Ease with working in a paperless environment.</span><br><span style="font-family:Arial;">• Ability to drive for results.</span><br><span style="font-family:Arial;">• Proven ability to work in a team environment.</span><br><span style="font-family:Arial;">• Ability to resolve conflict in a professional matter.</span><br><span style="font-family:Arial;">• Strong sense of organization and attention to detail.</span><br><span style="font-family:Arial;">• Self-regulation of time management and the ability to multi-task and adhere to deadlines.</span><br><span style="font-family:Arial;">• Familiarity with PIPEDA and how it applies in a confidential patient environment.</span><br><span style="font-family:Arial;">• Ability to work in a quiet working environment with proven ability to work autonomously within a remote/virtual team environment.</span><br><span style="font-family:Arial;">• Established high speed internet access from home office</span><br><br><span style="font-size:inherit;"><span data-teams="true"><strong>At Bayshore Healthcare, our commitment to Equity, Diversity &amp; Inclusion is our strength. This is how we bring our vision of being the difference in the lives of those we care for, work with and in our communities. We have a great sense of pride in creating a culture of belonging, where individual differences are embraced and celebrated, through programs, resources and policies that support each individuals purpose, potential and wellbeing.</strong></span></span></p><p><span style="font-size:inherit;"><span data-teams="true"><strong>At Bayshore Healthcare Ltd., and its subsidiaries, we are committed to fostering an inclusive workplace and operate in full compliance with all Provincial and Territorial legislation pertaining to Human Rights Codes and Accessibility requirements. To ensure continued compliance throughout the recruitment and selection process, we encourage candidates to disclose any accommodation needs they may have.</strong></span></span></p>