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Added 40 mins ago
TC
Senior People & Culture Advisor
The Common Good
AB · Edmonton, AB
- Full-time
Reporting to the Corporate Services Manager, this is a hands-on role with autonomy in your day-to-day work, the opportunity to contribute ideas and the satisfaction of seeing improvements…
Added 55 mins ago
VM
Sales Representative- Permanent Full-Time - (Supply Chain and Logistics B2B) - Ontario
Venture Media
Toronto, ON
- From $60,000 CAD / year
- Full-time
But we’re more than a shipping company. We’re a team of people who care about helping others succeed. We’re curious about how we can do things better, cheerful in how we show up, and always…
Added 1 hour ago
MM
Senior Project Engineer
Martin Marietta
Kenora, ON
- Full-time
Martin Marietta is seeking a Senior Project Manager specializing in the design and management of large capital projects for aggregate processing plants and rail/marine distribution…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
100 Mile House, BC
- Full-time
…including an autoclave. A great office staff including Office Manager, 2 MOA’s and a Receptionist will help you settle in, and support your administrative…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
Exciting Opportunity for a Family Physician to join Our Compassionate Care Team in West Kelowna!
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
Comprehensive Support: Our clinic provides well-trained staff, an experienced clinic manager, and optional urgent care services with on-site resources.
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
Full administrative support from an experienced Clinic Manager and MOA team
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
Exciting Opportunity for a Family Physician to join Our Compassionate Care Team – EB Medical, (Rutland) Kelowna
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
Exciting Opportunity for a Family Physician to join Our Compassionate Care Team – EB Medical, (Rutland) Kelowna
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
The Rutland UPCC consists of family practitioners (FPs), nurse practitioners (NPs), registered nurse team lead, primary care registered nurses (RNs), social workers (SWs), medical office…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Part-time
…efficient practice model that allows for high-quality patient care while maintaining a sustainable work-life…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Kelowna, BC
- Full-time
Full administrative support from an experienced Clinic Manager and MOA team
Added 1 hour ago
IP
Clinical Operations Manager
Indigenous Perspectives Society
Vancouver, BC
- Full-time
…right to best possible mental health. The Mind & Mood Clinical Care Network is an innovative new provincial program which aims to provide the right care at the right time to those with mood…
Added 1 hour ago
JA
sales and advertising manager
JF Automation Inc.
Mississauga, ON
- Full-time
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Fernie, BC
- Internship
Leroux Medical Clinic is a well-established healthcare clinic committed to providing exceptional medical care to the vibrant community of Fernie, BC. We are seeking two dedicated and…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Osoyoos, BC
- Full-time
Our clinic is well-staffed and has an Office manager and 3 MOA’s. Each physician will have 1 dedicated office space plus 2 exam rooms. Our clinic is very spacious with recent renovations.…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Penticton, BC
- Internship
The Penticton UPCC consists of family physicians (FPs), nurse practitioners (NPs), registered nurse team lead, primary care registered nurses (RNs), social workers (SWs), medical office…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Penticton, BC
- Internship
The Penticton UPCC consists of family physicians (FPs), nurse practitioners (NPs), registered nurse team lead, primary care registered nurses (RNs), social workers (SWs), medical office…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Osoyoos, BC
- Full-time
Our clinic is well-staffed and has an Office manager and 3 MOA’s. Each physician will have 1 dedicated office space plus 2 exam rooms. Our clinic is very spacious with recent renovations.…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
100 Mile House, BC
- Internship
…including an autoclave. A great office staff including Office Manager, 2 MOA’s and a Receptionist will help you settle in, and support your administrative…
Added 1 hour ago
HM
Family Practitioner/General Practitioner
Health Match BC
Fernie, BC
- Internship
Leroux Medical Clinic is a well-established healthcare clinic committed to providing exceptional medical care to the vibrant community of Fernie, BC. We are seeking two dedicated and…
Added 1 hour ago
B
SENIOR COMMERCIAL ACCOUNT MANAGER - Kelowna
BDC
Kelowna, BC
- Full-time
…a Defined Benefit Pension Plan, a $750 wellness and health care spending account, to name a…
Added 1 hour ago
RB
Private Banking Associate
Royal Bank of Canada
Vancouver, BC
- Full-time
Please note: All internal applicants must have support from their Reporting Manager before applying for this role***
Added 1 hour ago
RB
Client Advisor
Royal Bank of Canada
Stephenville, NL
- Part-time
…capabilities, you can build a great career with us as a future Account Manager/Banking…
Added 1 hour ago
RB
Client Advisor Intern
Royal Bank of Canada
Windsor, ON
- Part-time
…capabilities, you can build a great career with us as a future Account Manager/Banking…

Bayshore

Nurse Case Manager

Mississauga, ON, Canada

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Job details

Experience: Minimum 2 years’ experience in Patient Support Programs or equivalent.
Posting language: English
Posted: Nov 2, 2026

Original job description

JOB SUMMARY

The Nurse Case Manager (NCM) will play an essential role in supporting patients living with HIV disease to improve both their health outcomes and quality of life. NCM offers enrolment and reimbursement support to physicians and 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 key resource to physicians who are prescribing this medication and continuous support for renewals, and coverage changes. NCM will also supervise the coordination of monthly injection.

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.
Must be able to identify and report Adverse Events to Health Canada, Med Info, and enter into source system and third-party systems.
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.
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 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.
This position requires bilingual proficiency in French and English (spoken and written) due to operational, client, and regulatory 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.

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

Support patients living with HIV by coordinating enrollment, drug reimbursement and coverage, diagnostic testing, appointments, and ongoing communication with physicians and other care stakeholders. Maintain accurate patient records, report adverse events and product complaints, and provide education and program support in accordance with quality, privacy, and pharmacovigilance requirements.

Requirements

Requires graduation from a registered nursing or practical nursing program, current registration in good standing with a Canadian provincial regulator, and at least two years of Patient Support Program or equivalent experience. French and English proficiency, knowledge of Canadian drug coverage processes, strong computer and organizational skills, and the ability to work independently in a remote or virtual team environment are also required.

Skills

Patient Case Management
Patient Support Programs
Nursing
Patient Enrollment
Drug Reimbursement and Coverage
Insurance Navigation
Patient Advocacy
Care Coordination
Adverse Event Reporting
Pharmacovigilance
Data Integrity
Customer Service
Critical Thinking
Problem-Solving
Time Management
Confidentiality and PIPEDA Compliance

Visa sponsorship

Not detected in the job text

Keywords

HIV
Nurse Case Manager
Registered Nurse
Registered Practical Nurse
Patient Support Programs
Patient Enrollment
Private Drug Formularies
Provincial Drug Formularies
Drug Reimbursement
Special Authorization
Third-Party Providers
Patient Advocacy
Care Coordination
Diagnostic Testing
Adverse Events
Health Canada
Pharmacovigilance
Product Complaints
Patient Records
Data Integrity
Quality Management System
PIPEDA
Excel
Word
Outlook
Web Portals
French-English Bilingual Proficiency
Patient Education
Confidentiality

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