Nurse Case Manager

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

📋 Description

• Assess patient records, treatment history, provider input, and supporting documentation to ensure readiness for case action and subsequent processing.

• Implement established clinical and operational procedures that facilitate patient enrollment, therapy coordination, case advancement, and access to prescribed treatments.

• Review case activities, follow-up actions, and documentation quality to pinpoint discrepancies, delays, and process inefficiencies.

• Analyze therapy access barriers, coverage challenges, and coordination risks for prompt escalation and resolution.

• Interpret program protocols, product guidelines, and operational requirements to guide patients, providers, and internal teams.

• Collaborate with healthcare providers, pharmacies, clinics, and support teams to minimize interruptions in therapy access or administration.

• Maintain adverse event reporting, documentation controls, and communication standards in accordance with clinical, quality, and regulatory expectations.

⛳️ Requirements

• A Diploma in healthcare or a related discipline.

• Active registration as a Licensed Nurse (RN or RPN/LPN) from the College of Nurses in the province of employment is mandatory.

• A Bachelor's degree is preferred.

• Familiarity with clinical operations, care coordination, and case management processes.

• Understanding of patient support program workflows and therapy access pathways.

• Knowledge of clinical documentation, record maintenance, and audit requirements.

• Proficiency in treatment protocols, therapy administration support, and patient education practices.

• Acquainted with reimbursement navigation, coverage processes, and funding support activities.

• Expertise in adverse event reporting, quality controls, and compliance standards.

• Ability to accurately interpret clinical, operational, and reimbursement-related information.

• Capability to assess case status, service risks, and barriers to therapy access.

• Skill in validating documentation and maintaining precise case records.

• Proficient in coordinating interactions among patients, providers, pharmacies, clinics, and internal teams.

• Competent in clearly and professionally communicating complex care and program information.

• Capacity to stabilize case progression through timely follow-ups, escalations, and issue resolutions.

• Ability to audit case activities and identify gaps in process execution or documentation quality.

• Commitment to upholding confidentiality, quality standards, and regulatory requirements in daily responsibilities.

🏝️ Benefits

• Medical, dental, and vision care.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Family building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Training programs.

• Professional development resources.

• Mentorship programs.

• Employee resource groups.

• Volunteer activities.