Infirmière gestionnaire de cas sur le terrain - Bilingual Nurse Field Case Manager, Quebec

Shoppers Drug Mart Inc.; Montreal; Remoto; CAD 75.000 - 95.000; Tempo pieno

Vantaggi offerti da questo lavoro

Discount program

Online learning through SDMU

Descrizione del lavoro

Shoppers Drug Mart Inc. in Quebec City is seeking a Nurse Field Case Manager (FCM) to coordinate patient access to therapy, support physicians, and ensure cost‑effective treatments with strong communication.

The Nurse Field Case Manager will work with the reimbursement team to secure drug coverage and provide training and delivery management in person or remotely as required. The role requires an RN license, bilingual skills, 5+ years of clinical experience, and travel up to 60% across the

Competenze

• Registered Nurse with a current, unrestricted license in the province of employment.
• BScN preferred; combination of experience and education considered.
• Proficient in reimbursement landscape and completion of Special Authorization and Appeal Letters.

Mansioni

• Assist HCP with Program enrolment forms and requirements.
• Educate HCP on enrolment requirements.
• Gather patient enrolment information (physician signature, contact, product).
• Provide reimbursement assistance to patients and physicians as needed.
• Provide payer documentation support to physicians.
• Investigate reimbursement options and prepare supporting documentation.
• Determine eligibility for reimbursement and assist at all levels.
• Review patient status and assist physicians with Special Authorization forms (SA).
• Coordinate SA submissions with payers and follow up.
• Support physicians in developing appeal letters as required.
• Act as a resource on payer reimbursement criteria.
• Assist with annual prescription renewals and SA renewals.
• Identify obstacles to coverage and explore alternative channels.

Conoscenze

Nursing experience

Bilingual

Telephony skills

Leadership

Case management

MS 365

Critical thinking

Decision making

Travel up to 60%

Driver's license

Formazione

Registered Nurse with license (provincial)

BScN preferred

Strumenti

Microsoft 365

Descrizione del lavoro

Location

400 av Sainte-Croix, Saint-Laurent, Quebec, H4N 3L4

At Shoppers Drug Mart, we’re innovating health and wellness in Canada. From prescriptions to walk‑in clinics, and a beloved loyalty program, we’re caring and supporting our customers in new ways every day.
With more than 1,300 locally owned and operated stores from coast to coast, the Shoppers Drug Mart network is more than a great place to shop, it’s a great place to work. We’re committed to building our talented team who champion collaboration, kindness and inclusivity. Join our team, and help recognize a healthy future for your career and for all Canadians.

Job Description

Bilingual Nurse Field Case Manager (FCM)

Location

Quebec City

Why work at Specialty Health Network?

Specialty Health Network (or SHN, as we call ourselves) is a growing division of Shoppers Drug Mart, with a strong entrepreneurial spirit. We pride ourselves in having an awesome work culture and fun environment! We offer competitive salaries, a great benefit package, Shoppers Drug Mart discount, Goodlife gym discount, RRSP/Pension plans, Employee share ownership plan, professional training and development and many more perks!

Shoppers Drug Mart was acquired by Loblaw in 2014, the largest employer in Canada – making your career opportunities within our larger organization - endless!

Why is this position important?

The Nurse Field Case Manager (FCM) is responsible for a collaborative process of ongoing assessment, planning, facilitation, service coordination, evaluation, and advocacy to meet the needs of the patient/physician/client through flawless customer service. The Nurse Field Case Manager will deliver, through expert communication skills and available resources, quality and cost‑effective treatment outcomes for the patient. The Nurse Field Case Manager will work directly with the reimbursement team to help secure drug coverage. They will support physicians in managing all aspects related to facilitating patient access to therapy and will provide service in person or remotely according to customer preference. The Nurse Field Case Manager will be required to support patients in the field with medication training and delivery management.

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The Nurse Field Case Manager will help support a busy caseload in their respective territory, building strong working relationships, collaboration, effective communication and attention to detail both internally and externally to meet specific team and business objectives. In addition, the Nurse Field Case Manager will attend training sessions, complete self‑learning assignments and independent studies while adhering to SDM Specialty Health Network Standard Operating Procedures, Policies, and the College of Nurses Standards of Practice.

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What you will do:

• Assist the health care practitioner (HCP) in completing the Program enrolment form, as applicable

• Educate the HCP on the Program enrolment requirements

• Gather patient Program enrolment required information (physician signature, patient contact information, and product information)

• Provide reimbursement assistance to patients and physicians according to need

• Provide physicians with payer documentation support

• Investigate case‑by‑case reimbursement options, channels, procedures, and prepares documentation in support of reimbursement requests

• Determine patients’ channels and eligibility for reimbursement and provides assistance at all levels

• Review patient status and assists the prescribing physician to populate Special Authorization forms (SA) for public or private coverage by reviewing patient charts, assessing previous therapies and test results in order to complete the SA. The above may be done on site, or remotely, as required

• Ensure the coordination and follow up of SA submissions with payers

• Support treating physician in the development of appeal letters, as required

• Act as a resource for treating physicians and provides guidance regarding payer reimbursement criteria

• Assist patients and physicians with the annual prescription renewal process

• Assist patients and physicians with the SA renewal process (most commonly annually), as applicable

• Identify obstacles and delays to obtaining coverage, take appropriate action and identify alternative channels for patient coverage

• Management of patient files in the program database

• Educate the HCP and patients regarding Program services by providing general Program and Product information based on SOPs, Product Monograph, approved verbatim and other approved materials

• Review and discuss comprehensive program components, services and value‑add program offerings

• Act as a liaison and provide ongoing feedback to manufacturers based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance. Feedback and observations are channeled to the manufacturer as appropriate.

• Collaborate with sales reps and associates according to guidance and guidelines

• Attend scheduled educational events as required

• Report Adverse Events /Severe Adverse Events (AE/SAEs) in accordance with established agreements

• Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advancements

• Assume responsibility for personal and professional learning and development

• Other responsibilities as required by SDMSHN

What you will need:

• Registered Nurse with a current, unrestricted license in the province of employment

• BScN preferred, however, a combination of experience and education will be considered

• Proficient in reimbursement landscape and completion of Special Authorization and Appeal Letters

• Recent experience with Patient Support Programs (PSP) an asset

• Demonstrated customer/account focus and consistently deliver on the PSP value proposition

• Fluently bilingual in both written and spoken languages is an asset (French & English)

• Five or more years direct clinical experience

• Strong communication and telephony skills

• Demonstrated leadership experience and ability to work under pressure

• Ability to provide an organized, efficient approach to case management

• Possession of excellent skills in assessment, communication, critical thinking and decision making

• Ability to demonstrate understanding of SDM Specialty Health Network policies, legal considerations and professional ethics

• Proficiency of computer skills including, Microsoft 365

• Ability to adapt to a changing environment

• Commitment to the principle of quality client‑centered service delivery

• Travel required up to 60% in territory (some overnight may be required)

• Valid driver’s license and with reliable vehicle

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Why work at Shoppers Drug Mart?

Acting as consultants, supporting internal customers and the Associate-Owners, you will get experience unique to the retail industry while working for an award‑winning national brand. Benefit from a purchase discount program, competitive pay and online learning through SDMU.

Take ownership of your work and find more ways to care about your work, co‑workers, customers and community.

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How You’ll Succeed:

At Shoppers Drug Mart Inc., we seek great people to continually strengthen our culture. We believe great people model our values, are authentic, build trust and make connections.

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Employment Type:

Full time

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Type of Role:

Regular

Shoppers Drug Mart views diversity in Canada as a national pride and strength. Our priority is to reflect the growing diversity of our country through the people hired, our corporate culture and our products. Accommodations are available upon request for people living with disabilities during the recruitment, assessment, and post‑employment process.

In addition, we believe in the importance of complying with the law.Compliance with laws is part of our Code of Conduct, which outlines the expectations of our customers and stakeholders