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Bayshore

Nurse Case Manager

BC, Canada

Posting language: English
Posted: Sep 24, 2026

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Original job description

JOB SUMMARY
The Nurse Case Manager (NCM) that is referred to as a Regional Support Nurse in this program is to be a single point of contact offering medical case management services to patients with Neurology as well as support to physicians with regards to the treatment reimbursement process. 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 support, renewals, and coverage changes.

DUTIES AND RESPONSIBILITIES
• Assist in completing patient enrolment; including gathering 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.
• Ensure patients are scheduled for necessary diagnostic tests and notify physicians of any expired test results that require follow-ups.
• Complete Welcome Call activities with the patient according to defined scripts.
• Provide patients and physicians with direct toll-free number.
• Review post visit reports to confirm next appointment is scheduled and data integrity of the report against the physician order, if applicable.
• Track missing post visit reports, if applicable.
• Facilitate any required communication with physicians, Patient Support Programs, or other
health care professionals involved in the patient’s circle of care.
• Follow up and advocate until a decision is received, ideally securing coverage for the patient, if applicable.
• Work closely with the manufacturer local sales representatives to support specific physician’s and staff needs, if applicable.
• Offer and/or provide educational training to patients and physicians on product(s).
• Act as a central resource liaison for program stakeholders, which include physicians, nurses, patients, and clinics.
• Coordinate and schedule patients at appropriate visit locations (home, clinic, etc.), if applicable
• Provide updates to internal and external stakeholders based on observations.
• Ensure patient records are maintained and data-accurate to meet program reporting
requirements.
• Ensure timely and compliant reporting of Adverse Events (AEs) and Product Quality Complaints (PQCs) in accordance with Health Canada pharmacovigilance requirements and guidelines, including accurate documentation, appropriate escalation, and effective
collaboration with internal stakeholders and regulatory teams.
• 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.
• Maintain confidentiality of pharmaceutical partner(s) and corporate information and discuss same only with appropriate Bayshore personnel.
• Complete all relevant reports (time sheets, expenses, mileage, reports, etc.) as per specified timelines and Bayshore’s policy, if applicable.
• Complete product complaint reports.
• Adhere to Bayshore and manufacturer Policies and Procedures.
• Complete other tasks, as requested

QUALIFICATIONS
Education
• Graduate of Registered Nursing Program or Registered/Licensed Practical Nursing program holding current registration from a provincial licensing body in Canada.

Experience
• Registered and in good standing with their provincial regulatory body
• Minimum 2 years’ experience in Patient Support Programs or equivalent.
• Demonstrated expertise in delivering exceptional customer service and fostering positive relationships with internal and external stakeholders.
• Must be fluent in verbal and written communication and interpersonal skills for both English and French (Applicable for provinces/regions with French language service requirements).
• Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset.
• Strong computer and technical skills: Excel, Word, Outlook, tablets, web portals/internet use.
• Strong critical thinking and problem-solving skills.
• Making decisions using sound judgment.
• Proficient with 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.
• Ability to work in a quiet working environment with proven ability to work autonomously within a remote/virtual team environment.
• Established high speed internet access from home office.

Other Skills & Abilities
• Measurable experience with patients suffering with Neurological disease states (at least 3 years of experience), specifically Multiple Sclerosis.
• All RNs and RPNs working on the program should become MS certified by the CAN or IOMSN within 2 years of working on the program unless approved by client.

At Bayshore Healthcare, our commitment to Equity, Diversity & Inclusion is our strength. This is how we bring our vision of being the difference in the lives of those we care for, work with and in our communities. We have a great sense of pride in creating a culture of belonging, where individual differences are embraced and celebrated, through programs, resources and policies that support each individual's purpose, potential and wellbeing.

At Bayshore Healthcare Ltd., and its subsidiaries, we are committed to fostering an inclusive workplace and operate in full compliance with all Provincial and Territorial legislation pertaining to Human Rights Codes and Accessibility requirements. To ensure continued compliance throughout the recruitment and selection process, we encourage candidates to disclose any accommodation needs they may have.

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More about this job

Responsibilities

Provide medical case management and ongoing support to neurology patients, while helping physicians complete program paperwork and secure private or provincial drug coverage. Coordinate appointments, tests, communications, records, and compliant adverse event and product complaint reporting.

Requirements

Applicants must be registered nurses or practical nurses in good standing with a Canadian provincial regulator and have at least two years of Patient Support Program or equivalent experience. The role also requires at least three years of experience with neurological conditions, particularly multiple sclerosis, along with strong communication, organizational, technical, and data-handling skills; MS certification is expected within two years for program nurses.

Skills

Patient Case Management
Neurology
Multiple Sclerosis
Patient Support Programs
Insurance Coverage Navigation
Special Authorization Processes
Patient Enrollment
Stakeholder Communication
Patient Education
Adverse Event Reporting
Product Quality Complaint Reporting
Data Integrity
Critical Thinking
Problem-Solving
Time Management
Confidentiality

Visa sponsorship

Not detected in the job text

Keywords

Registered Nurse
Registered Practical Nurse
Provincial Nursing Registration
Patient Support Programs
Neurology
Multiple Sclerosis
Medical Case Management
Drug Reimbursement
Private Drug Formularies
Provincial Drug Formularies
Special Authorization
Patient Enrollment
Diagnostic Tests
Patient Education
Adverse Events
Product Quality Complaints
Health Canada Pharmacovigilance
Quality Management System
PIPEDA
Excel
Word
Outlook
Web Portals
Data Integrity
Confidentiality
MS Certification

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