Field Case Manager (Atlantic)

Location:

At Shoppers Drug Mart were innovating health and wellness in Canada. From prescriptions to walk-in clinics and a beloved loyalty program were caring and supporting our customers in new ways every day.
With more than 1300 locally owned and operated stores from coast to coast the Shoppers Drug Mart network is more than a great place to shop its a great place to work. Were committed to building our talented team who champion collaboration kindness and inclusivity. Join our team and help recognize a healthy future for your career and for all Canadians.

Why this role is important

Job Description

Nurse Field Case Manager (FCM) Nova Scotia

Location: Zone

Why work at Specialty Health Network

Specialty Health Network (or SHN as we call ourselves) is a growing division of Shoppers Drug Mart with a strong entrepreneurial spirit. We pride ourselves in having an awesome work culture and fun environment! We offer competitive salaries a great benefit package Shoppers Drug Mart discount Goodlife gym discount RRSP/Pension plans Employee share ownership plan professional training and development and many more perks!

Shoppers Drug Mart was acquired by Loblaw in 2014 the largest employer in Canada making your career opportunities within our larger organization - endless!

Why is this position important

The Nurse Field Case Manager (FCM) is responsible for a collaborative process of ongoing assessment planning facilitation service coordination evaluation and advocacy to meet the needs of the patient/physician/client through flawless customer service. The Nurse Field Case Manager will deliver through expert communication skills and available resources quality and cost-effective treatment outcomes for the patient. The Nurse Field Case Manager will work directly with the reimbursement team to help secure drug will support physicians in managing all aspects related to facilitating patient access to therapy and will provide service in person or remotely according to customer preference.

The Nurse Field Case Manager will help support a busy caseload in their respective territory building strong working relationships collaboration effective communication and attention to detail both internally and externally to meet specific team and business addition the Nurse Field Case Manager will attend training sessions 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.

What you will do:

Assist the health care practitioner (HCP) in completing the Program enrolment form as applicable

Educate the HCP on the Program enrolment requirements

Gather patient Program enrolment required information (physician signature patient contact information and product information)

Provide reimbursement assistance to patients and physicians according to need

Provide physicians with payer documentation support

Investigate case-by-case reimbursement options channels procedures and prepares documentation in support of reimbursement requests

Determine patients channels and eligibility for reimbursement and provides assistance at all levels

Review patient status and assists the prescribing physician to populate Special Authorization forms (SA) for public or private coverage by reviewing patient charts assessing previous therapies and test results in order to complete the SA. The above may be done on site or remotely as required

Ensure the coordination and follow up of SA submissions with payers

Support treating physician in the development of appeal letters as required

Act as a resource for treating physicians and provides guidance regarding payer reimbursement criteria

Assist patients and physicians with the annual prescription renewal process

Assist patients and physicians with the SA renewal process (most commonly annually) as applicable

Identify obstacles and delays to obtaining coverage take appropriate action and identify alternative channels for patient coverage

Management of patient files in the program database

Educate the HCP and patients regarding Program services by providing general Program and Product information based on SOPs Product Monograph approved verbatim and other approved materials

Review and discuss comprehensive program components services and value-add program offerings

Act as a liaison and provide ongoing feedback to manufacturer based on observations in the field and feedback from customers as it pertains to quality of services training and other areas of importance. Feedback and observations are channeled to the manufacturer as appropriate.

Collaborate with sales reps and associates according to guidance and guidelines

Provide in person training sessions to the patient as required

Attend scheduled educational events as required

Report Adverse Events /Severe Adverse Events (AE/SAEs) in accordance with established agreements

Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advancements

Assume responsibility for personal and professional learning and development

Other responsibilities as required by SDMSHN

What you will need:

Registered Nurse with a current unrestricted license in the province of employment

BScN preferred however a combination of experience and education will be considered

Proficient in reimbursement landscape and completion of Special Authorization and Appeal Letters

Recent experience with Patient Support Programs (PSP) an asset

Demonstrated customer/account focus and consistently deliver on the PSP value proposition

Fluently bilingual in both written and spoken languages is an asset (French & English)

Five or more years direct clinical experience

Strong communication and telephony skills

Demonstrated leadership experience and ability to work under pressure

Ability to provide an organized efficient approach to case management

Possession of excellent skills in assessment communication critical thinking and decision making

Ability to demonstrate understanding of SDM Specialty Health Network policies legal considerations and professional ethics

Proficiency of computer skills including Microsoft 365

Ability to adapt to a changing environment

Commitment to the principle of quality client-centered service delivery

Valid drivers license and with reliable vehicle

Why work at Shoppers Drug Mart

Acting as consultants supporting internal customers and the Associate-Owners you will get experience unique to the retail industry while working for an award-winning national brand. Benefit from a purchase discount program competitive pay and online learning through SDMU.

Take ownership of your work and find more ways to care about your work co-workers customers and community.

How Youll Succeed:

At Shoppers Drug Mart Inc. we seek great people to continually strengthen our culture. We believe great people model our values are authentic build trust and make connections.

If that sounds like you and you are open-minded responsive to change and up to the challenges provided in a fast-paced retail environment apply today.

Employment Type:

Full time

Type of Role:

Regular

Shoppers Drug Mart views diversity in Canada as a national pride and strength. Our priority is to reflect the growing diversity of our country through the people hired our corporate culture and our products. Accommodations are available upon request for people living with disabilities during the recruitment assessment and post-employment process.

In addition we believe in the importance of complying with the with laws is part of our Code of Conduct which outlines the expectations of our customers and stakeholders of us.

Why work at Shoppers Drug Mart

Acting as consultants supporting internal customers and the Associate-Owners you will get experience unique to the retail industry while working for an award-winning national brand. Benefit from a purchase discount program competitive pay and online learning through Academy.

Take ownership of your work and find more ways to care about your work co-workers customers and community.

How Youll Succeed:

At Shoppers Drug Mart Inc. we seek great people to continually strengthen our culture. We believe great people model our values are authentic build trust and make connections.

If that sounds like you and you are open-minded responsive to change and up to the challenges provided in a fast-paced retail environment apply today.

Employment Type:

Type of Role:

Shoppers Drug Mart Inc. recognizes Canadas diversity as a source of national pride and strength. We have made it a priority to reflect our nations evolving diversity in the products we sell the people we hire and the culture we create in our organization. Accommodation is available upon request for applicants with disabilities in the recruitment and assessment process and when hired.

In addition we believe that compliance with laws is about doing the right thing. Upholding the law is part of our Code of Conduct it reinforces what our customers and stakeholders expect of us.

Please Note: If you have Employee Self Service (ESS) on Workday apply to this job via the Workday application.

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