Field Nurse Case Manager coordinating patient care and insurance coverage for BioScript Solutions patients. Establishing relationships with healthcare providers and managing the patient journey effectively.
Responsibilities
Be responsible for the entire coordination of the patient journey;
Occasional travel for on-site clinic visits;
Acting as the Primary point of contact for physicians to enroll patients into a NavieGo managed program;
Establishing and maintaining a strong, trusting relationship with assigned clinics and physicians including site visits;
Acting as the main resource for NavieGo to request missing or additional information from respective physician offices, pharmacies, and/or other Health Care providers;
Coordinate and manage all aspects required in order to obtain prescription drug coverage for patients;
Coordinate cases with insurance companies, physician' offices and healthcare professionals in order to assist a patient in their journey on treatment;
Coordinate documents, submissions and all related paperwork to insurance companies and public funding programs;
Coordinate clinic appointments and drug deliveries within timelines;
Foster and build relationships with patients and key health care providers;
Implement best practices as required in an effort to maximize a patient's access to drug coverage;
Coordinate with pharmacy processes required once funding has been obtained;
Apply an in-depth knowledge of public / private funding systems;
Able to work rotating shifts Monday through Friday, covering the hours of 8 AM to 8 PM EST.
Requirements
Bilingualism - English/French - is an asset;
Registered Nurse designation and current provincial licensing is required;
Experience in the healthcare, pharmaceutical, or insurance industry is an asset;
Minimum of 2 years’ experience in customer/client service and health care reimbursement experience;
Strong proficiency in Microsoft and Google applications (Google apps, Word, Excel);
Proven ability to organize time, set priorities, and multi-task in order to meet various competing work 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;
Able to work rotating shifts Monday through Friday, supporting various regions of Canada.
Benefits
Growth Opportunities: Committed to fostering a culture of growth, where every team, member is encouraged to pursue new skills, expand their knowledge, and advance their careers.
Vibrant Culture: Over 1,500 team members across Canada and year over year we manage to maintain an overall above industry engagement score by using a monthly pulse survey.
Attractive Compensation: Competitive salary, incentive program, and comprehensive benefits package.
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