Nurse Case Manager

Socket.dev; Canada; On-site; CAD 84,000 - 95,000; Full time

Benefits offered by this job

Growth opportunities

Vibrant culture

Competitive compensation

Remote work

Job summary

BioScript Solutions is seeking a Nurse Case Manager to oversee patient journeys, coordinate drug coverage, and serve as the main contact for physicians within the NavieGo program. This remote, full-time role spans Canada, with rotating shifts across 8 AM–8 PM EST and responsibilities across clinics, insurers, and healthcare providers.

Applicants should be a licensed RN with strong communication skills, experience in healthcare reimbursement, and bilingual English/French is an asset.

Qualifications

• Registered Nurse designation and current provincial licensing is required.
• Experience in healthcare, pharmaceutical, or insurance industry is an asset.
• Minimum of 2 years’ experience in customer/client service and health care reimbursement experience.

Responsibilities

• Be responsible for the entire coordination of the patient journey.
• 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; and
• Able to work rotating shifts Monday through Friday, covering the hours of 8 AM to 8 PM EST.

Skills

Bilingual English/French

Registered Nurse

Healthcare reimbursement experience

Client service

Time management

Communication skills

Independent and team work

Education

RN License (provincial)

Tools

Microsoft Office

Google Apps

Job description

Empowering lives, healing hearts, embracing future

We are looking for an engaged individual to take on the role of Nurse Case Manager. This role is responsible for undertaking the management of specific cases that are assigned to them in regards to patient reimbursement and coordination for the NavieGo branch of the organization. The Nurse Case Manager is responsible for overall management of their patient cases and acts as a one point of contact to their assigned health care providers.

What we offer (and why you’ll love it here!):

• 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.
  • Our People Say It Best: https://www.youtube.com/watch?v=gySeQnPY7Tg
• Attractive Compensation: Competitive salary, incentive program, and comprehensive benefits package.
• What & Where: Remote & Full Time, Permanent

Why BioScript Solutions?

At BioScript, we're not just a company—we're a fast-growing company always putting patients first. Recognized as one of Canada’s Best Managed Companies, we believe in pushing boundaries, setting trends, and creating meaningful experiences that captivate and inspire. Our vibrant team is made up of innovative minds who are passionate about driving success and making an impact. Ready to be a part of this exhilarating journey?

Your Mission:

• Be responsible for the entire coordination of the patient journey;
• 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; and
• Able to work rotating shifts Monday through Friday, covering the hours of 8 AM to 8 PM EST.

What You Bring to the Table:

• 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);
• Professional/courteous/efficient telephone manner;
• 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.

Compensation:

At BioScript, your base pay is one part of your total compensation package and is determined within a range. Our pay ranges are based on the local cost of labor benchmarks for each specific role, level, and geographic location. The salary range for this position in BC is $84,000-$95,000.

We're proud to be an equal opportunity employer.

As a people-centric organization, we’re committed to fostering awelcomingculture free of discrimination, andtoproviding ahealthy andsafework environmentwhereall team memberscanthrive as individuals.Through our commitment to diversity, inclusion, belonging, and equity, we strive to provide an accessible workplace, where individuals feel valued, respected, and supported every day.

We are committed to creating an inclusive and accessible work environment across Canada. In accordance with applicable provincial legislation, including Quebec’s Charter of the French Language, this job posting is provided in both French and English when required. For positions based in Quebec, French language proficiency is required to perform day-to-day duties. Bilingualism (French and English) is required for this position to effectively communicate with internal and external stakeholders.