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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient enrollment, reimbursement navigation, and relationship management with healthcare providers. Proficient in delivering training and support while maintaining compliance with healthcare regulations and standards.
Highest-signal resume keywords
Licensed Nurse (RN or RPN/LPN)Patient Enrollment SupportReimbursement NavigationCase Management ExperienceFluency in French and English
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 Status ReviewReimbursement GuidanceKPI TrackingPharmacy CoordinationAdverse Event ReportingClinical Nursing ExperienceAnalytical SkillsHealthcare Regulations InterpretationField-Based Reimbursement SupportPublic and Private Coverage Knowledge
Soft Skills
Relationship BuildingCommunication SkillsTraining and SupportProblem SolvingTeam Collaboration
Certifications & Qualifications
BCLS Certification
Industry Keywords
HealthcarePharmaceuticalInsurancePatient Support ProgramContinuing Medical EducationPublic and Private Reimbursement StructuresField-Based ConsultationSpecial AuthorizationAppeals ProcessesProgram SOPs
About the role
Key responsibilities & impact- Customize program elements for assigned prescribing physicians
- Review patient status and assist with patient enrollment and payer forms for public or private coverage
- Identify coverage obstacles and communicate them to the Program Manager
- Build working relationships with physicians and office staff
- Resolve issues for assigned physicians
- Train physicians and clinics on programs and approved initiatives
- Liaise with the Program Manager and provide feedback from field observations and physician feedback
- Welcome patients and capture required information
- Provide reimbursement guidance and coordinate private and public coverage activities
- Track patient services according to KPIs to expedite therapy access
- Navigate financial assistance and reimbursement outcomes
- Assist with pharmacy selection and coordinate drug delivery
- Support therapy coordination and ongoing therapy status
- Refer clinical questions outside program materials to healthcare providers
- Report adverse and serious adverse events according to program SOPs
- Train and support new Field Case Managers and assist peers
- Maintain relationships with the Patient Support Program team
- Provide timely patient and clinic information
- Participate in scheduled physician and pharmaceutical team meetings
- Attend continuing medical education events and report on new activities
- Deliver presentations and in-service training to physicians with pharmaceutical representatives
- Maintain communication with program, clinical, client, patient, and nursing stakeholders
- Complete timesheets, expense, mileage, and program reports
- Perform other assigned duties; may be required to be on standby or on call
Requirements
What you’ll need- College diploma in nursing (DEC) or nursing assistant diploma (DEP); registered with the Ordre des infirmières et infirmiers du Québec
- Bachelor’s degree in healthcare or a related discipline, or a nursing diploma
- Licensed Nurse (RN or RPN/LPN) with active registration with the College of Nurses of Quebec
- Minimum of five (5) years of experience in the healthcare, pharmaceutical, insurance, or related industry
- Minimum of three (3) years of clinical nursing experience is an asset
- Case management experience preferred
- Available to travel within an assigned territory; some overnight travel may be required
- Valid driver’s license, current auto insurance policy, and access to reliable transportation
- Knowledge of private and public reimbursement structures, systems, and processes
- Experience with reimbursement navigation, special authorization, appeals processes, and field-based reimbursement support and consultation
- Strong analytical skills, including the ability to interpret regulations and legislation
- Fluency in French and English is required
- Daily contact with unilingual English-speaking customers, patients, or peers from cross-functional teams
- BCLS certification may be required depending on the program’s therapeutic area
Benefits
Comp & perks- Medical, dental, and vision care
- Backup dependent care
- Adoption assistance
- Infertility coverage
- Family-building support
- Behavioral health solutions
- Paid parental leave
- Paid caregiver leave
- Training programs
- Professional development resources
- Mentorship programs
- Employee resource groups
- Volunteer activities
- Reasonable accommodations during the employment process and employment