Bilingual Nurse Case Manager coordinating patient drug coverage and reimbursement for BioScript Solutions across Canada. Managing healthcare-provider communication, insurance submissions, appointments, and pharmacy processes.
Responsibilities
Manage assigned patient reimbursement and coordination cases for the NavieGo branch
Facilitate the entire patient journey and ensure communication among all parties
Serve as the single point of contact for assigned healthcare providers
Coordinate prescription drug coverage and reimbursement processes
Complete and submit documentation to insurance companies and public funding programs
Coordinate with insurance companies, physician offices, and healthcare professionals
Coordinate clinic appointments and drug deliveries within required timelines
Support and guide patients and healthcare providers throughout the reimbursement process
Build trusted relationships with patients and healthcare providers
Apply best practices to maximize patient access to drug coverage
Coordinate pharmacy processes after funding is obtained
Apply knowledge of public and private funding systems
Collaborate with internal teams to streamline reimbursement processes and improve efficiency
Enhance patient experience and satisfaction
Perform other duties as required
Requirements
Post-secondary education or equivalent experience
Qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse with a valid license
Minimum 2 years of experience in customer/client service and healthcare reimbursement
Prior oncology experience preferred
Healthcare, pharmaceutical, or insurance industry experience is an asset
Bilingualism in French and English is required
English proficiency is required
Ability to maintain confidentiality when handling sensitive information
Strong proficiency in Microsoft and Google applications, including Google Apps, Word, and Excel
Ability to work rotating shifts Monday through Friday, covering 8 AM to 8 PM
Professionalism, courtesy, and efficiency on telephone calls
Ability to organize schedules, prioritize, multitask, and meet competing deadlines
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Effective problem-solving and critical-thinking skills
Benefits
Growth opportunities and career advancement
Flexible remote work options
Competitive salary
Incentive program
Comprehensive benefits package
Healthy and safe work environment
Accessible and inclusive workplace
Accommodation available during the selection process
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