Patient Support Program; Psp - Case Manager; Bilingual - Hybrid

****** This posting is intended to build a pipeline of qualified candidates in anticipation of thegrowth our Pharmacy team is forecasting across the country. While there may not be an immediate opening, we encourage you to apply so we can connect when a suitable opportunity arises.*******

WHO WE ARE

When it comes to health, we’re always looking for waysto push for better. It’s why we were founded in the first place. In 1957, our founder, pharmacist William Wilkinson, witnessed a mother sacrifice her healthby forgoing her own medicine to pay for her sick daughter’s prescription. Heknew there had to be a better way. So, he introduced North America’s first prepaid drug plan, and Green Shield was born as a not-for-profit with a missionto support better health for all Canadians.

We aren’t just a health and benefits company. We’rethe only not-for-profit social enterprise that brings worlds of coverage andcare together, all in one place.
We’re noble challengers, purposefully building a betterway and we need the best people to help us create a more holistic approach thattakes care of the mind and body.

Our mission is to create better health for all Canadians, and we know that starts with our employees.

THEROLE IN A NUTSHELL

Reporting to the Lead, Patient Support Programs (PSP) &Preferred Pharmacy Network (PPN), the Bilingual PSP Case Manager provides nationalsupport to Canadian patients living with chronic or rare conditions by ensuring patients have access to their prescribed treatments in a timely manner and improve their quality of life. The Bilingual PSP Case Manager providesenrolment and reimbursement assistance, manages financial assistanceactivities, provides patients with disease state education, performs case management and healthcare services to patients, their dependents and the patient’s direct circle of care for specific prescribed molecules.

The Case Manager manages Special/Prior Authorizations at both the private and publicpayer-levels with submissions pertaining to obtaining drug reimbursement and coverage through private and provincial drug formularies.

Primary Duties and Responsibilities:

• Assist prescribing physicians with the completion of patient enrolments, gathering all pertinent information to complete private and/or provincial insurance forms
• Liaise with insurance and healthcare providers as well as provincial governments as necessary to determine coverage options
• Review patient charts (paper or electronic)
• Complete welcome call activities with the patient according to defined program Standards of Practice (SOP)
  Facilitate any required communication with physicians, patient support programs, or other healthcare professionals in the patient’s circle of care
• Work closely with the manufacturer’s sales resources to support specific physician and staff needs
  
  Offer and provide educational training to patients and physicians on specific product’s administration as aligned to the approved Health Canada product monograph
• Act as a central resource for program stakeholders, which includes but not limited to physicians, nurses, patients, clinics, pharmacists, lab technicians, etc.
• Ensure patient records are meticulously maintained and data is accurate in order to meet program reporting requirements
• Leverage Pharmacovigilance knowledge and identify Adverse Events (AEs) / Product Quality Complaints (PQCs) and report according to predefined Health Canada and manufacturer expectations
• Utilize nursing processes, through critical thinking, problem solving and decision making to proactively manage assigned patients who require case management services
• Effectively navigate, teach, counsel, coach, support, direct and advocate as required on specific diseases, therapies and disease management
• Provide adherence and persistency case management as required by the program
• Utilize multiple software applications including CRM
• Participate in quality activities and support continuous improvement of programs
• Ensure compliance with provincial & federal privacy legislation
• Participate in on going internal and/or external continuing education activities
• Adhere to Green Shield Pharmacy’s Polices, Processes and Procedures