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Bilingual Nurse Case Manager – Infirmier(ère) gestionnaire de cas
BioScript Solutions. Manage assigned patient reimbursement and coordination cases for the NavieGo program .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient reimbursement coordination and healthcare provider relationship management, with a strong focus on maximizing patient access to drug coverage and navigating public and private funding systems.
Highest-signal resume keywords
Bilingualism In English And FrenchRegistered Nurse DesignationHealthcare Reimbursement ExperienceProficiency In Microsoft And Google ApplicationsCritical Thinking And Problem-Solving Abilities
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Reimbursement CoordinationHealthcare Provider Relationship ManagementPrescription Drug Coverage CoordinationDocument Preparation And SubmissionTime Management And Prioritization
Soft Skills
Strong Communication SkillsInterpersonal SkillsProfessional Telephone MannerAbility To Work IndependentlyTeam Collaboration
Tools & Technologies
Microsoft ApplicationsGoogle ApplicationsGoogle AppsExcelWord
Certifications & Qualifications
Registered Nurse DesignationCurrent Provincial Licensing
Industry Keywords
HealthcarePharmaceuticalInsurance IndustryPatient Journey ManagementPublic And Private Funding Systems
About the role
Key responsibilities & impact- Manage assigned patient reimbursement and coordination cases for the NavieGo program
- Manage the entire patient journey and act as the primary contact for assigned healthcare providers
- Enroll patients into NavieGo-managed programs through physician coordination
- Establish and maintain relationships with clinics and physicians, including site visits
- Request missing or additional information from physician offices, pharmacies, and healthcare providers
- Coordinate prescription drug coverage for patients
- Coordinate cases with insurance companies, physician offices, and healthcare professionals
- Prepare and coordinate documents, submissions, and paperwork for insurers and public funding programs
- Coordinate clinic appointments and drug deliveries within required timelines
- Build relationships with patients and key healthcare providers
- Apply best practices to maximize patient access to drug coverage
- Coordinate pharmacy processes after funding is obtained
- Apply knowledge of public and private funding systems
Requirements
What you’ll need- Bilingualism in English and French is required
- Registered Nurse designation and current provincial licensing is required
- Minimum of 2 years’ experience in customer/client service and health care reimbursement experience
- Experience in the healthcare, pharmaceutical, or insurance industry is an asset
- Strong proficiency in Microsoft and Google applications, including Google Apps, Word, and Excel
- Professional, courteous, and efficient telephone manner
- Ability to organize time, set priorities, and multitask to meet competing 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
- Ability to work rotating shifts Monday through Friday, covering 8 AM to 8 PM EST and supporting various regions of Canada
Benefits
Comp & perks- Competitive salary
- Incentive program
- Comprehensive benefits package
- Flexible remote work options
- Growth and career advancement opportunities
- Healthy and safe work environment
- Workplace accommodations available on request