Field Nurse Case Manager coordinating patient treatment journeys and prescription coverage. Supporting BioScript Solutions’ specialty-care programs through insurers, clinics, pharmacies, and providers.
Responsibilities
Coordinate the entire patient treatment journey
Act as the primary point of contact for physicians enrolling patients in NavieGo managed programs
Establish and maintain relationships with assigned clinics and physicians, including site visits
Request missing or additional information from physician offices, pharmacies, and healthcare providers
Coordinate and manage requirements for obtaining prescription drug coverage
Coordinate cases with insurance companies, physician offices, and healthcare professionals
Prepare and coordinate documents, submissions, and paperwork for insurers and public funding programs
Coordinate clinic appointments and drug deliveries within required timelines
Build relationships with patients and key healthcare providers
Implement best practices to maximize patient access to drug coverage
Coordinate pharmacy processes after funding is obtained
Apply in-depth knowledge of public and private funding systems
Travel occasionally for on-site clinic visits
Requirements
Registered Nurse (RN) or Licensed Practical Nurse (LPN) designation and current provincial licensing required
Minimum of 2 years’ experience in customer/client service and healthcare reimbursement
Experience in the healthcare, pharmaceutical, or insurance industry is an asset
Bilingualism in English and French is required
Strong proficiency in Microsoft and Google applications, including Google Apps, Word, and Excel
Professional, courteous, and efficient telephone manner
Ability to organize time, set priorities, and multitask to meet competing deadlines
Strong communication and interpersonal skills
Ability to work independently and in a team environment
Ability to resolve issues effectively and efficiently
Critical thinking and problem-solving abilities
Ability to work rotating Monday-to-Friday shifts supporting various regions of Canada
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