Bilingual Nurse Case Manager

at  Bayshore HealthCare

A DAY IN THE LIFE

• Liaise and advocate with third-party providers and provincial governments as necessary to determine coverage options.
• Ensure patients are scheduled for blood work and notify physicians of expired blood work results
• Complete Welcome Call activities with the patient according to defined scripts
• Facilitate any required communication with physicians, Patient Assistant Programs or other health care professionals involved in the patients’ circle of care.
• Follow-up/advocate until a decision is received, ideally securing coverage for the patient.
• Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs.
• Offer and/or provide educational training to patients and physicians on product’s administration
• Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients and clinics.
• Provide updates to stakeholders based on observations in the field and physician’s
• Ensure patient records are maintained and data accurate to meet program reporting requirements.
• Must be able to identify and report AE’s to health Canada, Med Info and enter into source system and third party systems
• Report and document Adverse Events as per Pharmacovigilance requirements
• Participate in quality activities and continuous improvement initiatives in keeping with the company’s Quality Management System as well as specific performance indicators for the project
• Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel
• Requires traveling to physician’s offices on a regular basis as requested by the physician’s office
• Completes all relevant reports (time sheets, expenses, mileage, reports etc.) as per specified timelines and Bayshore’s policy
• Complete product complaint reports
• Adhere to Bayshore and manufacturer Policies and Procedures
• Complete other tasks as requested
  Job Qualification

Bilingual Nurse Case Manager (BNCM) will play an essential role in supporting patients living with a dermatological disease to improve both their health outcomes and quality of life. BNCM offers enrolment and reimbursement support to physicians and medical case management services to patients. Assist the physician with the completion of all program-specific paperwork and follow-up on submissions pertaining to obtaining drug reimbursement/coverage through private and provincial drug formularies to ensure patients have access to their prescribed treatments in a timely manner. Act as a key resource to physicians who are prescribing this medication and continuous support for renewals, and coverage changes.