Bilingual Document Specialist supporting a positive customer experience in Group Benefits Administration at Sun Life by processing documents and managing inquiries.
SS
Bilingual Nurse Case Manager – Ontario, Quebec
Posted 2 months ago
About the role
- Bilingual Nurse Case Manager managing patient support programs to ensure patient access to therapies. Collaborating with healthcare providers and insurance for optimal patient care delivery.
Responsibilities
- Perform HCP and patient registration activities, according to program protocols and applicable departmental procedures.
- Process data entry activities of pertinent information received at different points of contact during the delivery of program services.
- Provide answers to general inquiry calls submitted via telephone or web-based platforms on program services, disease state or product related questions, based on information provided as part of the program materials.
- Provide medical support to patients and health care providers, including but not limited to education on specific diseases and therapies and disease management, based on the information provided as part of the program materials.
- Prepare for and attend extensive, specialized training sessions for specific therapies provided by the pharmaceutical team.
- Telephone support (including maintenance calls and adherence support both inbound and outbound as needed).
- Administer and adhere to case-management protocols, including clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers.
- Work directly with the reimbursement specialist and the physician to secure funding for their patient’s therapies; assist with alternative funding searches when needed.
- Attend patient meetings, conferences as needed to educate patients, providers regarding disease/product information and case management services.
- Must be able to identify and report AE’s to the Manufacturer, Med Info and enter source system and third-party systems, within respective timelines.
- Maintains confidentiality of patient, client and corporate information and discusses same only with appropriate personnel.
- Liaise with physicians’ offices, pharmacies, infusion/injection services providers and other parties to provide comprehensive and coordinated service to patients and physicians and resolve issues as they arise.
- Participate in ongoing internal and/or external continuing education activities.
- Development of training material and programs for new PSP team members.
- Adhere to Sentrex Health Solutions Policies and Procedures.
- Perform patient enrolment into the program and complete required follow-ups, according to program protocols and applicable departmental procedures.
- Proactively offer support and advocacy to patients and HCP which includes but is not limited to enrollment, facilitation of coverage renewals, and changes throughout the patient journey, as well as facilitating reimbursement support to physicians and patients.
- Provide ongoing support on disease state or product related questions, based on information provided as part of the program materials to ensure patient adherence, as dictated by the needs of the patient.
- Review, analyze and validate information provided by patients for accuracy and completeness to ensure initiation and continuation of services.
- Follow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to patients.
- Follow‐up/advocate until a decision is received, ideally securing coverage for the patient.
- Report and document Adverse Events as per training on updated Pharmacovigilance requirements.
- Adhere to Sentrex Policies and Procedures.
- Additional duties as determined by your Manager.
Requirements
- Must be an RN or RPN in good standing with the College of Nurses of their respective province
- Experience in Patient Support Programs is required
- Reimbursement knowledge to obtain coverage for patients an asset
- Experience in Rare Disease is a strong asset
- Minimum 2 years of experience of clinical experience (preferred)
- Bilingualism (English and French) is required.
Benefits
- Competitive Salary and generous vacation entitlement
- Wellness Program (5 paid days off for your well-being!)
- Paid Sick Days
- Competitive Benefits Package including Dental & Extended Health Benefits, AD&D, LTD & Employee/Dependent Life Insurance
- Employee & Family Assistance Program
- RRSP Matching Program
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
Report this job
Found something wrong with the page? Please let us know by submitting a report below.
Caseworker managing patient and provider support for Cencora’s Innomar Strategies. Implementing case - management protocols and providing telephone support for funding and access issues.
Bilingual Corporate Roadside Assistance Representative handling inquiries for Canadian Tire. Providing customer service with availability for scheduling between 6AM to 11PM.
Bilingual Nurse Case Manager in McKesson's Patient Support Programs. Coordinating patient education and adherence support across the treatment journey in Canada.
Senior Associate at PwC specializing in SAP consulting services for operational efficiency. Analyzing client needs and implementing software solutions across SAP applications.
SAP EAM Consultant focused on delivering SAP solutions to enhance operational efficiency for clients. Collaborating across teams to implement and support complex business processes in SAP.
Customer Payments Specialist identifying and collecting delinquent payments for Equitable Bank. Responsible for maintaining high customer service values while managing collections in residential and commercial mortgages.
Vocational Case Coordinator managing referrals for TSA and EECA programs in Canada. Collaborating with multiple stakeholders and supporting operational efficiencies in vocational services.
Bilingual Senior Integration Specialist managing ongoing data feeds for item catalogs and purchase orders at Sodexo. Collaborating with partners and technical teams to ensure accuracy and integrity of system data.
Bilingual Integration Specialist working remotely with suppliers and technical teams at Sodexo. Maintaining data integrity and collaborating on data flow solutions.