Job Summary:

• Responsible for a collaborative process of ongoing assessment, planning, facilitation, service coordination, evaluation, and advocacy to meet the client/patient needs through communication and available resources to promote quality cost-effective outcomes. 
• Work directly with the reimbursement team to help secure drug coverage.
• Maintain a patient case load providing including disease state and molecule education to patients and care-givers, telephone support, monitoring of adherence and compliance, and side effect management. 
• Building strong working relationships both internally and externally key responsibilities to meet specific team and business objectives. 
• Attend pre-booked training sessions and 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.
• Customizes program elements to meet the needs of assigned prescribing physicians
• Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare Special Authorization (SA) petitions for public or private coverage by reviewing patient charts, assessing previous therapies and tests in order to complete the SA
• Proactively assesses programs and makes suggestions to enhance outcomes and quality of service
• Completes all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.
• Assume responsibility for personal and professional development.
• Arrange and coordinate treatment and liaise with existing treatment providers.
• Manage your cases, issuing reports and contacting all parties in accordance with customer service standards and service level agreements.

Skills on Resume: 

• Case Management (Hard Skills)
• Disease State Education (Hard Skills)
• Reimbursement Coordination (Hard Skills)
• Patient Advocacy (Soft Skills)
• Relationship Building (Soft Skills)
• Program Customization (Hard Skills)
• Report Completion (Hard Skills)
• Professional Development (Soft Skills)

Job Summary:

• Responsible for assigned patient case load.
• Coordinates & facilitates the client's progress from enrollment and throughout therapy.
• Ensure thorough documentation in patient file to ensure continuity of care is maintained and that any changes in patient care are clearly identified and transitioned accordingly
• Provide status updates related to reimbursement; coordinate nursing requirements; blood work; pharmacy dispensing/delivery/refill requests.
• Responsible for the collection and reporting of adverse events, product complaints, and product replacements based on the MAH criteria to meet Health Canada’s Guidelines for specified programs.
• Promotes communication and coordination between the MDs/pharma/patients/clinic staff and other departments within SDM Specialty Health Network
• Provide training & build relationships on behalf of the program(s).
• Work collaboratively with the Pharma company representatives.
• Advocate for patients/families to facilitate positive outcomes and ensure that ethical issues are identified and resolved according to the Canadian Nurses Association Code of Ethics.
• Demonstrate commitment to Continuous Quality Improvement.
• Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advances.
• Plan, prepare, coordinate and monitor the implementation of the rehabilitation programme.

Skills on Resume: 

• Case Coordination (Hard Skills)
• Documentation (Hard Skills)
• Adverse Event Reporting (Hard Skills)
• Relationship Building (Soft Skills)
• Patient Advocacy (Soft Skills)
• Program Training (Hard Skills)
• Communication (Soft Skills)
• Quality Improvement (Soft Skills)

Job Summary:

• Evaluates current status, diagnosis, prognosis, functional status, current treatment plan and needs.
• Develops a plan for physical/ medical and/or vocational services through interdisciplinary collaboration, which identifies realistic short and long-term goals.
• Coordinates the services and resources to implement the plan.
• Negotiates or utilizes approved vendors for the highest quality, most cost-effective appropriate services.
• Demonstrates effective, accurate and timely verbal and written communication.
• Utilize computer software and telephone to complete required case management activity and prepare reports to clients.
• Provides vocational plan for rehabilitation designed to facilitate injured worker’s return to suitable, gainful employment. Includes visits to work sites when requested or required by the client/ employer.
• Meets Quality Management standards of BHN.
• Participates in marketing activities as requested by Manager or Assistant for a prescribed geographical area. 
• Undertake Initial Needs Assessments and case management duties between 20-50 cases.
• Identify clinical flags and barriers to recovery and/or return to work and develop a rehabilitation programme to overcome these barriers.
• Monitor and encourage the recovery and progress of injured person in writing and by telephone.

Skills on Resume: 

• Case Evaluation (Hard Skills)
• Rehabilitation Planning (Hard Skills)
• Vendor Negotiation (Hard Skills)
• Communication (Soft Skills)
• Computer Proficiency (Hard Skills)
• Vocational Planning (Hard Skills)
• Quality Management (Hard Skills)
• Needs Assessment (Hard Skills)