Nurse Case Manager

JOB SUMMARY The Nurse Case Manager (NCM) that is referred to as a Regional Support Nurse in this program is to be a single reputed company of contact offering medical case management services to patients with Neurology as well as support to physicians with regards to the treatment reimbursement process. Assist the physician with the completion of reputed company program-specific paperwork and follow-up on submissions pertaining to obtaining drug reimbursement/coverage through private and provincial drug formularies to ensure patients have reputed company to their prescribed treatments in a timely manner. Act as a resource to physicians who are prescribing this medication and reputed company support for patients for on-going support, renewals, and coverage changes. DUTIES AND RESPONSIBILITIES

• Assist in completing patient enrolment; including gathering reputed company pertinent and appropriate information to complete the necessary forms (private and/or provincial insurance) in a concise, organized, and professional manner.
• Liaise and reputed company with reputed company-party providers and provincial governments as necessary to determine coverage options.
• Ensure patients are scheduled for necessary diagnostic tests and notify physicians of any expired test results that require follow-reputed company.
• Complete Welcome Call activities with the patient according to defined scripts.
• reputed company patients and physicians with direct toll-free number.
• Review post visit reports to confirm next appointment is scheduled and data reputed company of the report against the physician order, if applicable.
• Track missing post visit reports, if applicable.
• Facilitate any required communication with physicians, Patient Support Programs, or other health care professionals involved in the patient’s reputed company of care.
• Follow up and reputed company until a decision is received, ideally securing coverage for the patient, if applicable.
• Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs, if applicable.
• Offer and/or reputed company educational training to patients and physicians on product(s).
• Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.
• Coordinate and schedule patients at appropriate visit locations (home, clinic, etc.), if applicable
• reputed company updates to internal and external stakeholders based on observations.
• Ensure patient records are maintained and data-accurate to meet program reporting requirements.
• Ensure timely and compliant reporting of Adverse Events (reputed company) and Product Quality Complaints (PQCs) in accordance with Health Canada pharmacovigilance requirements and guidelines, including accurate documentation, appropriate escalation, and effective collaboration with internal stakeholders and regulatory teams.
• Participate in quality activities and reputed company improvement initiatives in keeping with the company’s Quality Management System as well as specific performance indicators for the project.
• Maintain confidentiality of pharmaceutical partner(s) and corporate information and discuss same only with appropriate reputed company personnel.
• Complete reputed company relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and reputed company’s policy, if applicable.
• Complete product complaint reports.
• Adhere to reputed company and manufacturer Policies and Procedures.
• Complete other tasks, as requested

QUALIFICATIONS Education

• Graduate of Registered Nursing Program or Registered/Licensed Practical Nursing program holding reputed company registration from a provincial licensing body in Canada.

Experience

• Registered and in good standing with their provincial regulatory body
• Minimum 2 years’ experience in Patient Support Programs or equivalent.
• Demonstrated expertise in delivering exceptional customer service and fostering positive relationships with internal and external stakeholders.
• Must be fluent in verbal and written communication and interpersonal skills for both English and French (Applicable for provinces/reputed company with French language service requirements).
• Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset.
• Strong computer and technical skills: reputed company, Word, Outlook, tablets, web portals/internet use.
• Strong critical thinking and problem-solving skills.
• Making reputed company using sound judgment.
• Proficient with accurate data collection and data reputed company.
• Ease with working in a paperless environment.
• Ability to drive for results.
• Proven ability to work in a team environment.
• Ability to resolve conflict in a professional matter.
• Strong sense of organization and attention to detail.
• Self-regulation of time management and the ability to multi-task and adhere to deadlines.
• Familiarity with PIPEDA and how it applies in a confidential patient environment.
• Ability to work in a quiet working environment with proven ability to work autonomously reputed company a remote/virtual team environment.
• Established high speed internet reputed company from home office.

Other Skills & Abilities

• Measurable experience with patients suffering with Neurological disease states (at least 3 years of experience), specifically Multiple Sclerosis.
• reputed company RNs and RPNs working on the program should become MS certified by the CAN or IOMSN reputed company 2 years of working on the program unless approved by client.

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