
Bilingual Nurse Case Manager
Posted 16 hours ago

Posted 16 hours ago
This is a fully remote position, open to applicants in Canada.
• Oversee patient reimbursement and coordination cases for the NavieGo branch.
• Act as the primary contact for designated healthcare providers.
• Facilitate the complete patient treatment journey and communication between all parties involved.
• Manage prescription drug coverage and reimbursement processes with insurance companies and public funding programs.
• Accurately complete and submit necessary documents and paperwork in a timely manner.
• Collaborate with insurance companies, physicians’ offices, and healthcare professionals.
• Organize clinic appointments and medication deliveries within specified timelines.
• Assist and guide patients and healthcare providers throughout the reimbursement process.
• Establish trusting relationships with both patients and healthcare providers.
• Implement best practices to enhance patient access to drug coverage.
• Coordinate pharmacy activities once funding is secured.
• Utilize knowledge of public and private funding systems.
• Work with internal teams to optimize reimbursement processes and boost efficiency.
• Improve patient experience and satisfaction.
• Post-secondary education or equivalent experience is required.
• Must be a qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse holding a valid license.
• A minimum of 2 years’ experience in customer/client service and healthcare reimbursement is essential.
• Prior experience in oncology is preferred.
• Background in the healthcare, pharmaceutical, or insurance sectors is advantageous.
• Bilingualism in French and English is mandatory.
• Proficiency in English is required.
• Ability to maintain confidentiality while managing sensitive information.
• Strong skills in Microsoft and Google applications, including Google apps, Word, and Excel.
• Availability to work rotating shifts from Monday to Friday, between 8 AM and 8 PM.
• Capable of organizing schedules, prioritizing tasks, multitasking, and meeting competing deadlines.
• Excellent communication, interpersonal, problem-solving, and critical-thinking abilities.
• Ability to work autonomously as well as collaboratively within a team environment.
• Competitive salary.
• Incentive program.
• Comprehensive benefits package.
• Flexible remote work options.
• Opportunities for growth and career advancement.
• Healthy and safe work environment.
• Accessible and inclusive workplace.
• Workplace accommodations available upon request.
Ohio Chapter, American Academy of Pediatrics (Ohio AAP)
Isaac Health
Five Star Solutions
Five Star Solutions
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