Role Description
We're hiring a Bilingual Nurse Case Manager. Make a meaningful difference in patient care. In this role, you will manage case support for assigned physicians, hospitals and clinics within a defined geography. Reporting to the Program Manager, you will help patients access services and drug therapy by coordinating care, reimbursement, clinical monitoring and issue resolution.
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Provide medical support and education to patients and health care providers on disease, therapy and disease management.
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Deliver inbound and outbound telephone support, including maintenance and adherence calls.
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Apply case-management protocols covering clinical monitoring, data collection, patient follow-up, compliance, therapy disruption or discontinuation, and adverse event reporting.
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Coordinate the activities and documentation needed to obtain prescription drug coverage through private, public and federal funding programs.
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Work with insurers, physician offices, health care professionals, pharmacies and agencies to identify reimbursement solutions, coordinate drug delivery and resolve issues.
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Maintain accurate case information, manage databases and complete ongoing audits of files and captured data.
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Communicate clearly with the manager, team and client regarding patient case management.
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Attend patient meetings, conferences and specialized therapy training, and build effective relationships with patient associations, advocacy groups and pharmaceutical partners.
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Collaborate with program colleagues to develop and implement disease-management programs, patient materials, compliance parameters, needs assessments and protocols.
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Support the training of new Nurse Case Managers through shadowing and call monitoring.
Qualifications
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Fluency in both French and English is mandatory.
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Bachelorβs degree or Registered Nurse diploma. An advanced degree or specific practice-management experience is preferred.
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At least five years of nursing experience.
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Health care and case-management experience in a medical or hospital practice, insurance environment or biopharmaceutical industry.
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Experience in third-party reimbursement, pharmaceutical sales, managed care, clinical support or a related area is an asset.
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Ability to understand and communicate medical information clearly and appropriately.
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Strong patient focus, customer service, telephone etiquette and written and verbal communication skills.
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Proven ability to work autonomously, prioritize competing deadlines, multitask and perform effectively under pressure.
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Strong negotiation, interpersonal, leadership, analytical, mathematical, business and financial skills.
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Excellent attention to detail, organization and problem-solving capability.
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Proficiency in Microsoft Outlook, Word and Excel, along with strong internet research and general computer skills.
Benefits
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Compensation, benefits, and resources that enable a highly inclusive culture.
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Traditional offerings like medical, dental, and vision care.
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Comprehensive suite of benefits focusing on physical, emotional, financial, and social aspects of wellness.
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Support for working families, including backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
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Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.