Toronto, On Case manager Jobs – 81 Openings This Week

Case Manager
Bayshore HealthCare —Mississauga, ON
- $52,000–$65,000 a year
- Contract
- Remote
- Bilingual
- Microsoft Excel
- Microsoft Outlook
Intensive Case Manager (Youth)
Our Place Peel —Mississauga, ON
- $51,732 a year
- Weekends as needed
- CPR Certification
- Master's degree
- Bachelor's
- Wellness program
- Paid time off
Quick apply
Social Worker
LAMP Community Health Centre —Mississauga, ON
- $38.15–$45.02 an hour
- Full-time
- Master's degree
- Social Work
- In-person
- Wellness program
- Dental care
Quick apply
10d
Social Worker
Bayshore HealthCare —Richmond Hill, ON
- $37.87–$44.43 an hour
- Full-time
- CPR Certification
- Master's degree
- Bachelor's
Social Work Project Worker
S.E.A.S. Centre —Scarborough, ON
- $25 an hour
- Full-time
- Microsoft Office
- Bachelor's
- No university degree
Quick apply
12d
Couples Counselor (Psychotherapist / Social Worker)
Hatch-Me Therapy & Counselling Services —North York, ON
- $60–$100 an hour
- Part-time
- Master's degree
- Experience working with children
- Patient care
Quick apply
5d
Psychotherapist/Social Worker- Primary care and Mental Health Focus
Durham Community Health Centre —Oshawa, ON
- $66,471–$75,517 a year
- Temporary
- Microsoft Word
- Microsoft Office
- Master's degree
Quick apply

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Social Worker II, CIFT
Youthdale Treatment Centres —Toronto, ON
Clinical experience in providing bio-psycho-social assessments, risk assessments, and evidenced based individual and family therapy to children, adolescents and…
$39.88–$43.17 an hour
Quick apply
3d
Multiple Positions: Experienced Registered Psychotherapist or Registered Social Worker (3–5+ Years)
Shanti Psychotherapy —Toronto, ON
We're seeking an experienced clinician with strong comfort working with children, and solid grounding in age-appropriate therapeutic modalities, to build a…
$105–$155 an hour
Quick apply
3d

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Intensive Case Manager (Youth)
Our Place Peel —Mississauga, ON
Support youth in their housing goals by connecting youth to local services, increasing youth's familiarity with local/preferred neighbourhood, and promoting a…
$51,732 a year
Quick apply
Case Manager
Bayshore HealthCare —Mississauga, ON
Act as a central resource liaison for program stakeholders, which include private and public insurers, pharmacies, nurses, and Patient Support Programs.
$52,000–$65,000 a year

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Case Manager

Bayshore HealthCare
Mississauga, ON

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Job details

Contract

Skills

Bilingual
French
Microsoft Excel
Microsoft Outlook
Customer service
English
High school diploma or GED
Computer skills
Communication skills

Full job description

Case Manager(Job Number: 26003594)

Primary Location:ON-Mississauga

Administration

Employee Type:Contract

Pay Rate From:$52,000

Pay Rate To:$65,000

Description:

This is a contract position with an estimated end date in March 2028.

JOB SUMMARY
To be a single point of contact, offering case management support services to plan members. Act as a resource to Pharmacies, and Patient Support Programs and continuous support for plan members for on‐going support with coverage, access to medications, and reimbursement navigation. This position reports into the Program Manager, Payor Solutions.

DUTIES AND RESPONSIBILITIES

Liaise and advocate with insurance companies, Patient Support Programs, physician’ offices and healthcare professionals to maximize reimbursement solutions
Encourage plan member enrollment in the applicable Patient Support Program
Completes and/or reviews Prior Authorization forms prior to submission to insurers, when the plan member is not enrolled within a Patient Support Program
Maintain in depth knowledge of public, private, and federal funding mechanisms nationally for all program drugs.
Maintain detailed electronic notes in the plan member’s file
Gather all pertinent and appropriate coverage information from the plan member or Patient Support Program to complete pharmacy referrals (Private and/or Public insurance, or financial assistance) in a concise, organized, and professional manner.
Proactively offer counseling, advocacy, and assistance for plan members.
Act as a central resource liaison for program stakeholders, which include private and public insurers, pharmacies, nurses, and Patient Support Programs.
Adjudicate prescriptions to external payers and support Bayshore Pharmacies with troubleshooting any adjudication error or reimbursement issues identified.
Communicates with plan members’ third-party plans to troubleshoot rejected claims.
Coordinate specialty pharmacy services once funding has been secured
Provide updates to stakeholders as requested.
Potential for large amount of telephone support required.
Participate in ongoing internal and/or external continuing education activities.
Adhere to Bayshore Policies and Procedures.
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

Secondary School Diploma.

Experience

Minimum of 2 years’ experience in customer service, in an office or pharmacy setting
Experience in the insurance, healthcare, pharmaceutical and Private/Public payers within Canada
Strong computer and technical skills: Excel, Word, Outlook
Experience in specialty pharmacy workflow with Kroll and NAV software
Professional / courteous / efficient telephone manner
Proven ability to organize time, set priorities and multi-task to meet various competing work deadlines
Candidate must have strong communication and interpersonal skills
Ability to work independently and in a team environment
Attention to detail
Excellent written and verbal communication skills
Comfort with investigating and making decisions using sound judgment
Familiarity with PIPEDA and how it applies in a confidential plan member environment.
Bilingual English/French will be considered an asset.

Apply Now

Refine Your Search

case manager jobs in toronto, on

Case Manager

Intensive Case Manager (Youth)

Social Worker

Social Worker

Social Work Project Worker

Couples Counselor (Psychotherapist / Social Worker)

Psychotherapist/Social Worker- Primary care and Mental Health Focus

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