JOB SUMMARY
The Case Manager (CM) is expert point of contact offering case management support services to
patients and physicians. The CM will assist the patients, physicians, and nurses with the completion
of all program-specific paperwork. The CM will act as a resource to physicians who are prescribing
medications and patients who need on-going support. They are instrumental in removing any
reimbursement access barriers to treatment for patients, thereby ensuring that they can start on
therapy as quickly as possible. They thrive in an environment that emphasizes teamwork and
accountability, possesses a deep willingness to serve customers, and drives positive customer
experiences in a fast‐paced work environment while showing flexibility to adapt to competing
demands across the portfolio as required.
DUTIES AND RESPONSIBILITIES
• Ensure patient has been enrolled in the patient support program (PSP). Set the tone for a
warm welcome into the program.
• Provide direct telephone assistance to patients requiring reimbursement support.
• Provide patients and physicians with direct toll-free number
• Develop strong relationships with patients, caregivers, and their healthcare team by infusing
confidence, trust, security, and relief.
• Facilitate a patient’s access to a particular medication by offering reimbursement navigation
services.
• Investigate reimbursement options available to the patient and maximize the patient’s
coverage via private and public payers, while minimizing the financial assistance offered
through the PSP and/or out-of-pocket expenses for the patient.
• Represent the patient with private or public insurers to optimize drug coverage and assist
with the completion of Special Authorization (SA) and/or Prior Authorization (PA) forms,
when applicable.
• Coordinate with pharmacy drug coverage and dispensing. Troubleshoot any filling/billing
issues as required
• Liaise with PSP team to ensure optimal patient support and communication, if applicable
• Maintain ongoing and transparent communication with the patient’s healthcare team.
• Diligent record-keeping to ensure continuous care and exceptional customer and patient
experience.
• Uncover and proactively identify gaps and opportunities for improvement in patient
experience.
• Through patient-oriented solutions, manage challenging patient situations with empathy
and patience.
• Work with the site representatives to support specific customer needs.
• Act as a central resource liaison for program stakeholders, which include physicians, nurses,
patients, and clinics.
• Provide updates to internal and external stakeholders as requested and required.
• Perform data entry, answer inbound calls, make outbound calls, manage e-mail and fax
software, and perform general administrative functions including faxing and filing.
• Must be able to identify and report Adverse Events to Health Canada and enter into source
system and third-party systems, as applicable
• Report and document adverse events as per pharmacovigilance requirements.
• Participate in ongoing internal and/or external continuing education activities.
• Adhere to Bayshore Policies and Procedures.
• 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.
• Participate in proactive Health & Safety activities while performing all duties. Is responsible
to notify immediate supervisor of any Health & Safety risks or concerns.
• Maintains confidentiality of pharmaceutical partner(s) and corporate information and
discusses same only with appropriate Bayshore personnel.
• Complete other tasks as requested.
We are committed to hiring military and Veteran spouses and encourage you to identify your connection with the MSEN when reaching out to us or applying to any of our open roles.
Have questions or want to learn more about us? We would love to hear from you!
Recruitment Team
Email: bmprecruiter@bayshore.ca
855-272-5700
Bayshore Medical Personnel is honored to support those who have and those who continue to serve and protect our country. Bayshore Medical Personnel is proud to partner with Military Family Services, Canadian Forces Morale and Welfare Services in order to bring quality careers in nursing, pharmacy, occupational health and occupational therapy to the attention of military spouses. Wherever possible BMP will attempt to provide continuous professional employment to spouses as military members are deployed across the country. We understand the resilience required by military spouses to continually seek new employment opportunities while being relocated together with their families, and being away from loved ones during deployment. Positions we recruit include: Pharmacist Pharmacy Assistant Physician (RCMP and VAC) RN Community Health RN Occupational Health RN Primary Care RN Case Manager RN Dental Sedation RN Mental Health RPN/LPN Occupational Therapist
Bayshore Medical Personnel is part of the staffing division of Bayshore HealthCare, one of the largest providers of health care in Canada and has been in business over 50 years. Voted as One of Canada’s Best Employers by Forbes, Bayshore is also a platinum winner of Canada’s Best Managed Companies award since 2006.