Nurse Case Manager

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

📋 Description

• Oversee patient reimbursement and coordination cases assigned to the NavieGo branch.

• Serve as the main point of contact for designated healthcare providers.

• Facilitate the complete patient journey.

• Enroll patients in NavieGo-managed programs through connections with physicians.

• Develop and sustain relationships with clinics and physicians, which includes conducting site visits.

• Request any missing or additional information from physician offices, pharmacies, and other healthcare providers.

• Secure prescription drug coverage for patients.

• Collaborate with insurance companies, physician offices, and healthcare professionals.

• Manage documents, submissions, and paperwork for insurance providers and public funding programs.

• Arrange clinic appointments and drug deliveries within specified timelines.

• Cultivate relationships with patients and key healthcare providers.

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

• Oversee pharmacy processes once funding has been secured.

• Utilize knowledge of public and private funding systems.

• Work rotating shifts from Monday to Friday, covering the hours of 8 AM to 8 PM EST.

⛳️ Requirements

• Must possess a Registered Nurse designation and current provincial licensing.

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

• Experience in the healthcare, pharmaceutical, or insurance sectors is a plus.

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

• Professional, courteous, and efficient telephone communication skills.

• Ability to effectively organize time, prioritize tasks, and multitask to meet competing deadlines.

• Excellent communication and interpersonal abilities.

• Capability to work both independently and within a team setting.

• Proficient in resolving issues effectively and efficiently.

• Strong critical thinking and problem-solving skills.

• Willingness to work rotating Monday–Friday shifts to support various regions across Canada.

• Bilingualism in English and French is an asset; however, proficiency in both languages is mandatory for positions based in Quebec.

🏝️ Benefits

• Opportunities for professional growth and career advancement.

• Competitive salary structure.

• Incentive programs.

• Comprehensive benefits package.

• Flexibility for remote work.

• Full-time permanent position.

• An inclusive and accessible work environment.

• Accommodations available upon request during the selection process.