Bilingual Nurse Case Manager

• 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

• Registered Nurse or Registered Practical Nurse (RN/RPN) License
• Preference with Candidates that have experience with the disease state
• Registered and in good standing with the College of Nurses
• Excellent written and verbal communication skills in English and French
• Minimum 2 years’ experience in Patient Support Programs
• Providing excellent customer services skills internally as well as externally
• Excellent verbal and written communication skills and interpersonal skills; English and French considered an asset
• Reimbursement experience

• Understanding of provincial and private coverage criteria and how to navigate the Canadian Drug Coverage Landscape.
• Familiarity with the Special Authorization process for both public and private insurance in assigned territory.
• Strong Computer and Technical skills: Excel, Word, Outlook, tablets, web- portals/internet use
• Strong critical thinking and problem solving skills
• Making decisions using sound judgment, and meeting deadlines.
• Accurate data collection and data integrity
• Ease with working in a paperless environment.
• Ability to drive for results
• Proven ability to work in a team environment
• Ability to resolve conflict in a professional matter
• Strong sense of organization and attention to detail
• Self-regulation of time management and the ability to multi-task and adhere to deadlines
• Familiarity with PIPEDA and how it applies in a confidential patient environment.
• Valid driver’s license with less than 2 infractions in the past 2 years

Bayshore HealthCare