[Hiring] Bilingual Nurse Case Manager @Sentrex Health Solutions

Role Description

The Bilingual Nurse Case Manager (NCM) is an integral part of the Patient Services Team, responsible for the coordination and delivery of services related to a variety of patient support programs offered by Sentrex Health Solutions.

• Manage all aspects of program support to ensure patients have easy access to program services and their drug therapy.
• Interact with patients, insurance companies, pharmacies, physicians, and other health care professionals (HCPs) to explore and obtain coverage for prescribed medication.

A Day in the Life (What you will do here):

• Perform patient enrolment activities and complete required follow-ups according to program protocols and applicable departmental procedures.
• Provide medical support to patients and healthcare providers, including prescription coordination and education on disease, product, administration, and side effect management.
• Provide telephone support including inbound and outbound maintenance, support, and adherence calls as needed.
• Respond to clinical inquiries from patients and healthcare providers received via telephone or web-based platforms.
• Provide information on program services to patients and healthcare providers as needed.
• Prepare for and attend extensive, specialized training sessions for specific therapies as required.
• Administer and adhere to case-management protocols, including clinical monitoring, data collection, ongoing patient follow-up, compliance, therapy disruption/discontinuation monitoring, and adverse event reporting.
• Report Adverse Events / Severe Adverse Events (AE / SAEs) following approved SOPs.
• Collaborate with the patient, insurer, and physician regarding documentation necessary for maximal reimbursement coverage.
• Liaise with physicians’ offices, pharmacies, infusion services providers, and other parties to provide comprehensive and coordinated service to patients and physicians.
• Follow program protocols to ensure the most appropriate next step is scheduled for continuity of service delivery to patients.
• Attend patient meetings and conferences as needed to educate patients and providers regarding disease/product information and case management services.
• Collaborate and participate in PSP team and client meetings as necessary.
• Participate in ongoing internal and/or external continuing education activities.
• Participate in the development of training material and programs for new PSP team members.
• Provide ad-hoc support to multiple programs, teams, and departments.
• Foster and promote a spirit of teamwork while working with internal patient support teams.
• Provide additional support with other duties or projects as requested by PSP Management.
• Additional duties as determined by your Manager.

Qualifications

• Must be a Registered Nurse in good standing with the College of Nurses of their respective province.
• Bilingual communication skills (English and French) is required.
• 2+ years of clinical experience.
• Experience in Patient Support Program is required.
• Knowledge of private and public reimbursement, special access, and the appeals process is a strong asset.
• Must be able to work from home and have a quiet, private home office space.
• Demonstrates an aptitude for continuous learning.
• Strong analytical skills including interpretation of regulation and legislation.
• Excellent customer service, problem-solving, and conflict resolution skills.
• Strong interpersonal skills.
• Strong functional user of various computer-based programs.
• Proficiency in Adobe Acrobat, SharePoint, and Microsoft Office applications is required.
• Strong ability to consistently meet deadlines and prioritize projects.
• Exceptional organizational skills and ability to coordinate activities effectively.
• Ability to establish and build healthy working relationships and partnerships with peers.
• Ability to work independently, make decisions, multitask, and solve problems under pressure.
• Flexible, resourceful, creative, and proactive work style with an enthusiastic attitude.
• Results-oriented with an ability to handle multiple tasks and maintain a high level of performance.
• Advanced ability to learn and understand new systems and software quickly.
• Excellent problem-solving skills: ability to resolve issues effectively and efficiently.

Benefits

• Competitive Salary and generous vacation entitlement.
• Wellness Program (5 paid days off for your well-being!).
• Paid Sick Days.
• Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance.
• Employee & Family Assistance Program.
• RRSP Matching Program.