Case Manager

Bayshore HealthCare; Ontario; Remote; CAD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Case Manager to provide essential support services to patients navigating healthcare reimbursement processes. This role is crucial in ensuring patients receive timely access to therapies by acting as a liaison between patients, healthcare teams, and insurers. The Case Manager will foster strong relationships, maintain transparent communication, and ensure a patient-centric approach in all interactions. With the flexibility of remote work from anywhere in Canada, this position offers a dynamic work environment where teamwork and customer service are paramount. If you are passionate about making a difference in patients' lives, this opportunity is perfect for you.

Qualifications

• Experience with reimbursement processes or willingness to learn.
• Ability to work autonomously and in a team, remotely.

Responsibilities

• Ensure patient enrollment in the patient support program and provide assistance.
• Facilitate patient access to medications through reimbursement navigation services.

Skills

Customer Service

Communication Skills

Problem-Solving

Cultural Competency

Attention to Detail

Multitasking

Education

Post-secondary education

Tools

Microsoft Office

Job description

Join to apply for the Case Manager role at Bayshore HealthCare

Job Summary

To be an expert point of contact offering case management support services to patients. Assist patients, physicians, and nurses with the completion of all program-specific paperwork. Act as a resource to physicians prescribing medications and patients needing ongoing support. The Case Manager is instrumental in removing reimbursement access barriers to treatment, ensuring patients can start therapy promptly. This position reports to the Associate Program Manager. The role emphasizes teamwork, accountability, customer service, and positive experiences in a fast-paced environment. Remote work from anywhere in Canada is supported.

Duties and Responsibilities

1. Ensure patient enrollment in the patient support program (PSP) and provide a warm welcome.
2. Provide telephone assistance to patients requiring reimbursement support.
3. Build strong relationships with patients, caregivers, and healthcare teams, fostering confidence and trust.
4. Facilitate patient access to medications through reimbursement navigation services.
5. Investigate and maximize reimbursement options, minimizing out-of-pocket expenses.
6. Represent patients with insurers to optimize drug coverage and assist with authorization forms.
7. Liaise with the PSP team for patient support and communication.
8. Maintain transparent communication with healthcare teams.
9. Keep diligent records to ensure continuous care and excellent customer service.
10. Identify gaps and opportunities for improving patient experience.
11. Handle challenging situations with empathy and patience.
12. Support site representatives and act as a resource for stakeholders.
13. Provide updates, perform data entry, manage calls and emails, and handle administrative tasks.
14. Identify and report adverse events as per regulations.
15. Participate in ongoing education and quality improvement activities.
16. Adhere to policies, procedures, and safety protocols.
17. Maintain confidentiality of all client and corporate information.
18. Complete additional tasks as assigned.

Qualifications

1. Post-secondary education or equivalent.
2. Experience with reimbursement processes or willingness to learn.
3. Knowledge of provincial and private drug coverage criteria.
4. Familiarity with the Special Authorization process.
5. Healthcare, pharmaceutical, or insurance industry experience is an asset.
6. Strong customer service, communication, and problem-solving skills.
7. Patient-centric approach with cultural competency.
8. Ability to work autonomously and in a team, remotely.
9. Organized with attention to detail and multitasking skills.
10. Proficient in Microsoft Office and computer skills.
11. High-speed internet access at home.

Primary Location

Ontario

Seniority level

Entry level

Employment type

Full-time

Job function

Other

Industries

Hospitals and Health Care