Patient Care Navigator – 6 Month Contract

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

📋 Description

• Act as the main point of contact for patients, healthcare providers, and support programs.

• Facilitate reimbursement, therapy access, patient education, and continuous care navigation.

• Work in collaboration with patient support program coordinators and ensure necessary patient chart and record documentation.

• Deliver clinical and disease-state education to patients, caregivers, physicians, and healthcare professionals.

• Assist in securing funding and reimbursement approvals for prescribed therapies.

• Aid physicians in mandated transitions from originator biologics to biosimilars as per provincial regulations.

• Complete special authorization forms, enrollment forms, reimbursement documentation, and specific program requirements.

• Provide therapy guidelines, reimbursement criteria, and payer requirements to healthcare providers.

• Coordinate, document, and monitor patient services in accordance with established KPIs.

• Organize treatment appointments and medication deliveries in collaboration with internal teams and pharmacies.

• Document adverse events following procedures, regulations, and company policies.

• Assess processes and suggest improvements.

• Implement case management protocols, including monitoring, follow-up, adherence support, therapy disruption monitoring, and provider communication.

• Collaborate and cross-train with Navigators across various therapeutic areas.

• Function as a central point of contact for multidisciplinary Immunology patient-care coordination.

• Provide continuous patient support, education, consultation, therapy evaluations, adherence monitoring, treatment response evaluations, and dose optimization.

• Coordinate pre-biologic screenings, laboratory tests, tuberculosis screenings, imaging, and immunization evaluations.

• Manage routine blood tests, therapeutic drug monitoring, and fecal calprotectin testing.

• Oversee therapy changes, dose adjustments, treatment transitions, infusion appointments, and follow-up activities.

• Engage in therapy-specific training, meetings, conferences, and educational programs.

• Identify risks and contribute to continuous quality improvement initiatives.

• Keep accurate documentation in the Maple database and other relevant systems.

• Ensure compliance with privacy legislation, corporate policies, regulatory requirements, and standard operating procedures.

⛳️ Requirements

• Bachelor's Degree in Nursing, Pharmacy, or a related healthcare field.

• Experience in Gastroenterology and/or Immunology.

• Proven ability to foster collaborative relationships with patients, healthcare providers, patient support programs, pharmacies, and internal stakeholders.

• Self-motivated and proactive, capable of working independently while effectively contributing to a team.

• Strong problem-solving, organizational, and decision-making abilities with the capacity to juggle multiple priorities.

• Business savvy and the ability to excel in a corporate healthcare setting.

• Exceptional clinical assessment and decision-making skills.

• Familiarity with biologic therapies and their administration.

• Experience with reimbursement navigation, special authorization procedures, funding appeals, and patient access support.

• Understanding of public and private reimbursement systems, funding pathways, and payer requirements.

• Strong analytical skills, including the ability to interpret policies, regulations, and reimbursement criteria.

• Background in pharmaceutical, healthcare, sales, marketing, or business administration is considered an asset.

• Intermediate proficiency with Microsoft 365 applications, including Word, Excel, PowerPoint, Teams, Outlook, and Copilot.

• Experience utilizing patient support program platforms, electronic medical records, and patient management systems.

• Willingness to travel as needed, including occasional overnight trips.

• Ability to operate effectively in a dynamic and fast-paced healthcare environment.

• Excellent verbal and written communication abilities.

• Strong interpersonal, stakeholder management, and relationship-building skills.

• Maintain active professional licensure in good standing within the applicable province.

🏝️ Benefits

• Competitive compensation package.

• Annual bonus or long-term incentive opportunities may be available.

• Continuous professional development through training, conferences, and industry engagement.

• Exposure to advanced therapies and specialty healthcare.

• Development of expertise in reimbursement, patient access, and navigation services.

• Experience working collaboratively with multidisciplinary healthcare teams and industry partners.

• Opportunity to support complex patient journeys and enhance access to therapy.

• Growth in leadership, stakeholder management, problem-solving, and clinical decision-making capabilities.

• Experience in an innovative, patient-centered healthcare environment focused on improving outcomes and access to care.