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

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

At Shoppers Drug Mart, we’re innovating health and wellness in Canada. 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.

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 quality and cost-effective treatment outcomes for the patient and will work directly with the reimbursement team to help secure drug coverage.

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.
• Provide reimbursement assistance to patients and physicians according to need.
• Investigate case-by-case reimbursement options and prepare documentation in support of reimbursement requests.
• Determine patients’ channels and eligibility for reimbursement.
• Review patient status and assist the prescribing physician to populate Special Authorization forms (SA).
• 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 regarding payer reimbursement criteria.
• Assist patients and physicians with the annual prescription renewal process.
• Identify obstacles and delays to obtaining coverage and take appropriate action.
• Manage patient files in the program database.
• Educate the HCP and patients regarding Program services.
• Collaborate with sales reps and associates according to guidance.
• 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.
• Assume responsibility for personal and professional learning and development.

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.
• 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 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.
• Valid driver’s license and reliable vehicle.

Why work at Shoppers Drug Mart? Benefit from a purchase discount program, competitive pay and online learning. Take ownership of your work and find more ways to care about your work, co-workers, customers and community.

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.

Employment Type: Full time

Type Of Role: Regular