Nurse Case Manager

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

📋 Description

• Assess patient records, treatment histories, provider inputs, and relevant documentation to ensure readiness for case actions and subsequent processing steps.

• Implement established clinical and operational protocols 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 deficiencies that impact service delivery.

• Analyze obstacles to therapy access, coverage concerns, and coordination risks to identify timely escalation and resolution requirements.

• Clarify program protocols, product guidelines, and operational criteria to guide patients, providers, and internal teams effectively.

• 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

• Diploma in healthcare or a related discipline.

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

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

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

• Knowledge of clinical documentation, record maintenance, and auditing standards.

• Awareness of treatment protocols, therapy administration support, and patient education methodologies.

• Insight into reimbursement navigation, coverage processes, and funding support initiatives.

• Familiarity with adverse event reporting, quality controls, and compliance requirements.

• Capability to accurately interpret clinical, operational, and reimbursement-related data.

• Proficiency in assessing case status, service risks, and barriers to therapy access.

• Competence in validating documentation and ensuring accurate case records are maintained.

• Ability to coordinate effectively among patients, providers, pharmacies, clinics, and internal teams.

• Skill in communicating complex care and program information in a clear and professional manner.

• Capacity to stabilize case progression through timely follow-up, escalation, and resolution of issues.

• Ability to audit case activities and identify shortcomings in process execution or documentation standards.

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

🏝️ Benefits

• Medical, dental, and vision insurance.

• Backup dependent care services.

• Adoption assistance programs.

• Coverage for infertility treatments.

• Support for family building initiatives.

• Behavioral health solutions.

• Paid parental leave benefits.

• Paid caregiver leave options.

• Access to training programs.

• Resources for professional development.

• Opportunities for mentorship.

• Employee resource groups.

• Engagement in volunteer activities.