Single Point of Contact Nurse (9 month contract)
Bayshore HealthCare
Ontario
JOB SUMMARY

To be a single point of contact nurse offering 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 resource to physicians who are prescribing this medication and continuous support for patients for on-going tele health, renewals, and coverage changes.

This position reports to the Pharmaceutical Program Manager or Team Leader

DUTIES AND RESPONSIBILITIES

Ensure patient has been enrolled through support program

Gather all pertinent and appropriate information from the prescribing physician 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.

Follow-up/advocate until a decision is received, ideally securing coverage for the patient.

Proactively offer counseling, advocacy and assistance for patients.

Work closely with the local sales representatives to support specific customer needs.

Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients and clinics.

Provide updates to stakeholders as requested.

Potential for large amount of telephone support required along with occasional travel.

Participate in ongoing internal and/or external continuing education activities

Adhere to Bayshore Policies and Procedures

Employee will maintain relevant level of knowledge of ICH (International Conference on Harmonization), GCP (Good Clinical Practice) and Health Canada GVP (Good Pharmocovigilance Practices) guidelines appropriate to their hired role which is to be provided at time of hire and annually. With this knowledge the employee will perform the work as required by their assigned function and will be provided with regular updates as required

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

Provide tele-health support and telephone follow up to patients at specific intervals as set out in the program SOP or SOW

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

Participate in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns.

Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel

Complete other tasks as requested

Qualifications:
QUALIFICATIONS

Education

Graduate of Registered Nursing Program or Registered Practical Nursing Program holding current registration from an accredited School of Nursing.

Up to date CPR/BLS certification

Specific oncology education (DeSouza certification an asset)

Ability to work independently and as a part of a team

Critical thinking and strong clinical judgment

Current registration with provincial nursing body

Knowledge of RNAO best practices guidelines for Nurses

Current CPR/BCLS certification

Experience

Reimbursement experience 3+ years

Measureable experience working in an oncology setting, acute or community care.

Understanding of provincial and private coverage criteria and how to navigate the Canadian Drug Coverage Landscape.

Familiarity with the Special Authorization process for both public and private insurance in assigned territory.

Working knowledge of French language is an asset

Other Skills and Abilities

Strong Computer and Technical skills: Excel, Word, Outlook, tablets, web-portals/internet use

Mindful of accuracy and thoroughness of data entry for reporting requirements

Flexible Schedule

Excellent written and verbal communication skills, data collection requirements

Excellent verbal communication skills and interpersonal skills

Established internet and home phone access from home office