About the role

Bilingual Nurse Case Manager coordinating rare-disease care, reimbursement, monitoring, and drug access for Cencora’s healthcare services. Supporting patients, providers, insurers, and pharmaceutical partners across Canada.

Responsibilities

Manage case support for assigned physicians, hospitals and clinics within a defined geography
Coordinate care, reimbursement, clinical monitoring and issue resolution to help patients access services and drug therapy
Provide medical support and education to patients and health care providers on disease, therapy and disease management
Deliver inbound and outbound telephone support, including maintenance and adherence calls
Apply case-management protocols covering clinical monitoring, data collection, patient follow-up, compliance, therapy disruption or discontinuation, and adverse event reporting
Coordinate documentation needed to obtain prescription drug coverage through private, public and federal funding programs
Work with insurers, physician offices, health care professionals, pharmacies and agencies to identify reimbursement solutions, coordinate drug delivery and resolve issues
Maintain accurate case information, manage databases and complete ongoing audits of files and captured data
Communicate with the manager, team and client regarding patient case management
Attend patient meetings, conferences and specialized therapy training
Build relationships with patient associations, advocacy groups and pharmaceutical partners
Collaborate with program colleagues to develop and implement disease-management programs, patient materials, compliance parameters, needs assessments and protocols
Support training of new Nurse Case Managers through shadowing and call monitoring

Fluency in both French and English is mandatory
Bachelor’s degree or Registered Nurse diploma
At least five years of nursing experience
Health care and case-management experience in a medical or hospital practice, insurance environment or biopharmaceutical industry
Experience in third-party reimbursement, pharmaceutical sales, managed care, clinical support or a related area is an asset
Ability to understand and communicate medical information clearly and appropriately
Strong patient focus, customer service, telephone etiquette and written and verbal communication skills
Ability to work autonomously, prioritize competing deadlines, multitask and perform effectively under pressure
Strong negotiation, interpersonal, leadership, analytical, mathematical, business and financial skills
Excellent attention to detail, organization and problem-solving capability
Proficiency in Microsoft Outlook, Word and Excel
Strong internet research and general computer skills