Bilingual Nurse Case Manager – BC/AB

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

📋 Description

• Oversee designated patient reimbursement and coordination cases for the NavieGo branch.

• Manage overall patient cases and act as the primary point of contact for assigned healthcare providers.

• Facilitate the complete patient journey and communication among all parties involved.

• Coordinate and manage requirements for prescription drug coverage.

• Complete documentation, submissions, and paperwork for insurance providers and public funding programs.

• Liaise with insurers, physician offices, and healthcare professionals to coordinate cases.

• Schedule clinic appointments and drug deliveries within specified timelines.

• Assist and guide patients and healthcare providers throughout the reimbursement process.

• Establish trusted relationships with both patients and healthcare providers.

• Implement best practices to enhance patient access to drug coverage.

• Manage pharmacy processes post-funding acquisition.

• Utilize extensive knowledge of public and private funding systems.

• Collaborate with internal teams to optimize reimbursement processes and enhance efficiency.

• Improve patient experience and satisfaction with the reimbursement process.

⛳️ Requirements

• Post-secondary education or equivalent experience is required.

• Must be a qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse with a valid provincial license.

• A minimum of 2 years of experience in customer/client service and healthcare reimbursement is necessary.

• Previous experience in oncology is preferred.

• Experience in the healthcare, pharmaceutical, or insurance sector is advantageous.

• Bilingualism in French and English is essential.

• Proficiency in English is required.

• Ability to maintain confidentiality when managing sensitive information.

• Strong skills in Microsoft and Google applications, including Google Apps, Word, and Excel.

• Must be able to work rotating shifts from Monday to Friday, covering 8 AM to 8 PM.

• Possess a professional, courteous, and efficient telephone manner.

• Demonstrated capability to organize schedules, prioritize tasks, multitask, and meet competing deadlines.

• Excellent communication and interpersonal skills are essential.

• Must be able to work independently as well as collaboratively within a team.

• Strong problem-solving and critical-thinking abilities are required.

🏝️ Benefits

• Opportunities for growth and career advancement.

• Flexible remote work options available.

• Competitive salary offered.

• Incentive program in place.

• Comprehensive benefits package provided.

• Healthy and safe work environment.

• Commitment to diversity, inclusion, belonging, and equity.

• Workplace accommodations available upon request.