Nurse Client Liaison offers 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 renewals, and coverage changes.
DUTIES AND RESPONSIBILITIES
Assist the prescribing physician to complete patient enrollment; 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.
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 clinics.
Provide updates to stakeholders based on observations in the field and physician’s
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
This position reports to the Associate Program Manager, and indirectly to the manufacturer
RN or RPN/LPN
Preference with Candidate that has experience within the therapeutic area
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 if servicing Québec
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.
Strong Computer and Technical skills: Excel, Word, Outlook, tablets, webportals/internet use
Making decisions using sound judgment, 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