Bilingual nurse case manager coordinating patient drug reimbursement and healthcare-provider communication for BioScript Solutions. Managing coverage applications, funding documentation, appointments, and pharmacy processes remotely in Ontario.
Responsibilities
Manage assigned patient reimbursement and coordination cases for the NavieGo branch
Serve as the single point of contact for assigned healthcare providers
Facilitate the entire patient journey and coordinate communication among involved parties
Coordinate and manage prescription drug coverage applications
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 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
Requirements
Post-secondary education or equivalent experience
Qualified Registered Nurse, Licensed Practical Nurse, or Registered Practical Nurse with a valid provincial license
Minimum of 2 years’ experience in customer/client service and health care reimbursement
Prior oncology experience preferred
Experience in the healthcare, pharmaceutical, or insurance industry is an asset
Bilingualism in French and English is required
English proficiency 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
Ability to organize schedules, prioritize tasks, multitask, meet competing deadlines, work independently and in a team, solve problems, and think critically
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