Nurse Case Manager

PRIMARY DUTIES AND RESPONSIBILITIES: 

• Provide support to patients and health care providers, including but not limited to information on the Patient Support services, specific diseases and therapies based on manufacturer provided materials and product monograph; 

• Work with patients and families to complete a needs assesment related to medication access; 

• Acts as a liaison between patients, families, health care providers and payers related to medication access.     

• Provide answers to general inquiry calls submitted via telephone or web-based platforms on program services, disease state or product related questions, based on information provided as part of the program materials 

• Provide ongoing support on disease state or product related questions, based on information provided as part of the program materials to ensure patient adherence, as dictated by the needs of the patient.  

• Refer the patient to contact their healthcare provider should the patient have clinical questions, assessments and situations that fall outside program provided materials or manufacturer product monograph;   

• Database management and ongoing auditing of files and information captured; 

• Administer and adhere to case-management protocols, including data collection, on-going patient follow-up, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers; 

• Work directly with the reimbursement specialist and the physician to secure funding for their patient’s therapies; assist with alternative funding searches when needed; 

• Prepare for and attend extensive, specialized training sessions for specific therapies provided by the pharmaceutical team, as required; 

• Attend pharmaceutical meetings as required; 

• Attend patient meetings, conferences as needed to educate patients and providers on Patient Support Program services; 

• Work with patient associations and advocacy groups, as required; 

• Establish and maintain partnerships with pharmaceutical team; 

• Liaise with health care providers, pharmacies and infusion clinics, and other agencies as required, to coordinate infusions, drug delivery and resolve issues as they arise; 

• Clear communication to the manager, team and the client regarding the management of patient cases; 

• With the managers, participate in the training process of new Drug Access Navigator, including but not limited to shadowing & call monitoring. 

• Provide feedback regarding current protocols, databases, processes, inter-departmental relationships 

• Report Adverse Events / Severe Adverse Events following program Standard Operating Procedures; 

• The Drug Access Navigator will also be assigned other duties and tasks as required from time to time. May be required to be on standby/ on call as part of this role. 

EXPERIENCE AND EDUCATIONAL REQUIREMENTS: 

• A Bachelor’s degree inhealth care or a related field   

• Requires a minimum of three (3) years, and preference of greater than five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience; 

• The preferred candidate has healthcare and case management experience in medical or hospital practice or the insurance or bio-pharma industry; 

• Bilingualism (French and English) strongly preferred;