Bilingual Nurse Case Manager

Posted 2 days ago

This is a fully remote position, open to applicants in Canada.

📋 Description

• Oversee and implement services related to Sentrex Health Solutions' patient support programs.

• Manage all facets of program support and act as the main point of contact for designated health care providers.

• Ensure that patients have access to support programs and their prescribed medication therapies.

• Communicate with patients, insurance providers, pharmacies, physicians, and other healthcare professionals to secure medication coverage.

• Conduct registration and enrollment activities for healthcare providers and patients.

• Handle relevant data entry received during the delivery of program services.

• Respond to phone and web inquiries regarding program services, disease states, and products.

• Offer medical support, disease and therapy education, as well as disease management guidance.

• Attend specialized training sessions for specific therapies.

• Provide inbound and outbound support for telephone, maintenance, and adherence.

• Implement case-management protocols, which include clinical monitoring, data collection, follow-up, compliance checks, therapy disruption/discontinuation tracking, and reporting of adverse events.

• Collaborate with reimbursement specialists and physicians to secure funding for therapies and explore alternative funding options.

• Participate in patient meetings and conferences as necessary.

• Identify and report adverse events within the required timelines.

• Uphold the confidentiality of patient, client, and corporate information.

• Coordinate patient services and resolve issues by liaising with physicians’ offices, pharmacies, infusion/injection providers, and other involved parties.

• Engage in continuing education activities.

• Create training materials and programs for new members of the Patient Support Program (PSP) team.

• Advocate for patients and healthcare providers throughout the patient journey, including enrollment, coverage renewals, and reimbursement support.

• Review, analyze, and verify the accuracy and completeness of patient information.

• Schedule necessary next steps to ensure seamless service delivery.

• Follow up and advocate until coverage decisions are finalized.

• Document adverse events according to pharmacovigilance standards.

• Comply with Sentrex policies and procedures.

• Undertake additional responsibilities as assigned by the manager.


⛳️ Requirements

• Must hold an RN or RPN designation in good standing with the College of Nurses in the respective province.

• Experience in Patient Support Programs is essential.

• Knowledge of reimbursement processes for securing patient coverage is advantageous.

• Experience in the field of Neurology is highly valued.

• A minimum of 2 years of clinical experience is preferred.

• Willingness to work flexible hours between 8:00 am and 8:00 pm (EST).

• Ability to maintain confidentiality regarding patient, client, and corporate information.

• Exceptional organizational skills and the ability to foster effective working relationships.

• Adaptability to growth and changes within the organization.

• Proven capacity to build trust and influence at various levels.

• Effective and straightforward communication style.


🏝️ Benefits

• 100% Canadian company with locations nationwide.

• State-of-the-art facilities.

• Flexible working environment that promotes a healthy work-life balance.

• Diverse and inclusive workplace culture.

• Employee Development Program.

• Industry-leading in-house corporate training.

• Competitive salary.

• Generous vacation entitlement.

• Wellness Program offering 5 paid days off.

• Paid Sick Days.

• Comprehensive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance.

• Employee & Family Assistance Program.

• RRSP Matching Program.

• Accommodations available upon request during the selection process.

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