About

• JOB SUMMARY
• The Field Nurse Case Manager (FNCM) will play an essential role in supporting patients living with a
• respiratory disease to improve both their health outcomes and quality of life. FNCM offers enrolment and
• reimbursement support to physicians and medical case management services to patients. Assist the
• physician with the completion of all program-specific paperwork and follow-up on submissions pertaining
• to obtaining drug reimbursement/coverage through private and provincial drug formularies to ensure
• patients have access to their prescribed treatments in a timely manner. Act as a key resource to physicians
• who are prescribing this medication and continuous support for renewals, and coverage changes.
• DUTIES AND RESPONSIBILITIES
• • Assist the prescribing physician to complete patient enrolment; including on-site visits to the
• physician office to gather all pertinent and appropriate information to complete the necessary
• forms (private and/ or provincial insurance) in a concise, organized and professional manner.
• • Liaise and advocate with third-party providers and provincial governments as necessary to
• determine coverage options.
• • Review patient charts in physician office (paper and electronic based); keep electronic charts.
• • Ensure patients are scheduled for blood work and notify physicians of expired blood work results.
• • Complete Welcome Call activities with the patient according to defined scripts.
• • Facilitate any required communication with physicians, Patient Assistant Programs or other health
• care professionals involved in the patients’ circle of care.
• • Follow-up/ advocate until a decision is received, ideally securing coverage for the patient.
• • Work closely with the manufacturer local sales representatives to support specific physician’s and
• staff needs.
• • Offer and/ or provide educational training to patients and physicians on product’s administration.
• • Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients
• and clients.
• • Provide updates to stakeholders based on observations in the field and physicians.
• • Ensure patient records are maintained and data accurate to meet program reporting requirements.
• • Must be able to identify and report AE’s to health Canada, Med Info and enter into source system
• and third-party systems.
• • Report and document Adverse Events as per Pharmacovigilance requirements.
• • 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.
• • Maintains confidentiality of client and corporate information and discusses same only with
• appropriate Bayshore personnel.
• • Requires traveling to physician’s offices on a regular basis as requested by the physician’s office.
• • Completes all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified
• timelines and Bayshore’s policy.
• • Complete product complaint reports.
• • Adhere to Bayshore and manufacturer policies and procedures.
• • Complete other tasks as requested.

• QUALIFICATIONS
• • Registered Nurse or Registered Practical Nurse (RN/RPN) license.
• • Preference with candidate that have experience with the product.
• • Registered and in good standing with the College of Nurses.
• • Minimum 2 years’ experience in Patient Support Programs.
• • Providing excellent customer services skills internally as well as externally.
• • Excellent verbal and written communication skills and interpersonal skills; English and Bilingual is
• servicing Quebec.
• • Reimbursement experience
• o Understanding of provincial and private coverage criteria and how to navigate the Canadian Drug Coverage Landscape.
• o Familiarity with the Special Authorization process for both public and private insurance in assigned territory.
• • Strong computer and technical skills: Excel, Word, Outlook, tablets, web-portals/internet use.
• • Strong critical thinking and problem-solving skills.
• • Making decisions using sound judgement, and meeting deadlines.
• • Accurate data collection and data integrity.
• • Ease with working in a paperless environment.
• • Ability to drive for results.
• • Proven ability to work in a team environment.
• • Ability to resolve conflict in a professional matter.
• • Strong sense of organization and attention to detail.
• • Self-regulation of time management and the ability to multi-task and adhere to deadlines.
• • Familiarity with PIPEDA and how it applies in a confidential patient environment.
• • Valid driver’s license with less than 2 infractions in the past 2 years.