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Added 58 mins ago
J
Therapeutic Specialist, Neuroscience
Jobgether
Canada
- Full-time
Preferred: Experience in physician- or account-based selling, training, managed healthcare, or marketing.
Added 1 hour ago
J
Therapeutic Specialist, Neuroscience
Jobgether
Canada
- Full-time
Preferred: Experience in physician- or account-based selling, training, managed healthcare, or marketing.
Added 1 hour ago
QH
Novice Registered Nurse (RN) - Belleville Emergency Room
Quinte Health
Belleville, ON
- Full-time
…facility for Psychiatry. Our Team is made up of RN’s, RPN’s, Physician’s, Physician Assistant’s as well as a multidisciplinary team of Physio, OT & Allied Health, all of whom practice with…
Added 1 hour ago
IH
Licensed Practical Nurse (LPN) | Acute
Interior Health Authority
Kamloops, BC
- Internship
Located in Kamloops, RIH offers high-level, specialty medical care including core physician specialties, 24 emergency and trauma services, ambulatory and outpatient clinics, and diagnostic…
Added 1 hour ago
IH
Project Lead | Evaluation
Interior Health Authority
Kelowna, BC
- Part-time
…Housing. Works collaboratively with management, clinical and physician leaders to champion change in the area of Health & Housing and ensures transparent communication to all…
Added 1 hour ago
IH
Medical Laboratory Assistant
Interior Health Authority
Trail, BC
- Internship
…Grand Forks and Nelson, KBH offers services including core physician specialties, 24 hour emergency and trauma services, Level 2 laboratory, acute and obstetrical care, psychiatry, and…
Added 2 hours ago
LM
Family physician – Flexible practice in a private clinic
Lacroix Médecine Privée
Quebec, QC
- Full-time
At Lacroix Private Medicine, we believe that a fulfilled physician is one who can provide the best possible care to their patients. We are committed to allowing you to focus on what matters…
Added 2 hours ago
FH
Registered Nurse/Registered Psychiatric Nurse, Community Mental Health & Substance Use Services
Fraser Health
Delta, BC · Surrey, BC
- Part-time
Added 2 hours ago
NH
Family Medicine
Northern Health - BC
Prince Rupert, BC
- Full-time
We are seeking a Family Physician with operative obstetrical skills to join the medical community in studding coastal city of Prince Rupert.
Added 2 hours ago
H
Travel Licensed Practical Nurse (LPN) – Long Term Care (LTC)
Healthforce
Canada
- $2,166.4 to $2,266.4 USD / week
- Full-time
…routine skin assessments and dressing/wound care changes per physician…
Added 3 hours ago
LM
Immunologist-Allergist
Lacroix Médecine Privée
Quebec, QC
- Full-time
Added 3 hours ago
MP
Pharmacy Data Specialist
MediSystem Pharmacy
Mississauga, ON
- Full-time
Retrieve faxed or electronic physician's orders, prescriptions or requests for prescription refills
Added 3 hours ago
SD
Specialist, Bilingual Patient Care
Shoppers Drug Mart Specialty Health Network
Mississauga, ON
- Full-time
…programs, also the single point of contact for the group of physician clinics/offices within that territory. The Patient Care Specialist will work collaboratively with other Patient Care…
Added 3 hours ago
MP
Pharmacy Data Specialist
MediSystem Pharmacy
Richmond, BC
- Full-time
Retrieve faxed or electronic physician's orders, prescriptions or requests for prescription refills
Added 3 hours ago
Outpatient Clinic Clerk - Jim Pattison Outpatient Care & Surgery Centre
Fraser Health
Surrey, BC
…appropriate locations for appointments. Informs appropriate clinic, physician and/or other health care professional of patient…
Added 3 hours ago
TS
Registered Nurse-Agape Hospice
The Salvation Army Canada and Bermuda Territory
Calgary, AB
- Part-time
Monitor clients’ physical, emotional, psychological, and spiritual well-being, responding promptly to changes in condition and initiating necessary interventions or physician contact.
Added 4 hours ago
MR
General Manager
MyLife Retirement
Penetanguishene, ON
- Full-time
…premier provider of retirement lifestyles. Founded and led by a physician, the organization emphasizes holistic well-being and individualized support. MyLife Retirement is owned and…
Added 4 hours ago
LC
Relief Pharmacist (Manitoba wide)
Loblaw Companies Limited
Winnipeg, MB
- Full-time
Added 4 hours ago
L
Customer Support Agent - (Inbound) - Part Time Regular (Float) - Mississauga, ON
LifeLabs
Mississauga, ON
- Part-time
Receives and follows-up on requests for physician consultations
Added 4 hours ago
TS
Registered Nurse-Agape Hospice
The Salvation Army in Canada
Calgary, AB
- Part-time
Monitor clients’ physical, emotional, psychological, and spiritual well-being, responding promptly to changes in condition and initiating necessary interventions or physician contact.
Added 4 hours ago
P
HR & Talent Acquisition Specialist
Perennial
Toronto, ON
- Full-time
Wellness Haus – A physician-led clinic focused on evidence-based medicine, preventative care, and wellness services.
Added 4 hours ago
P
Finance Director
Pollin
Toronto, ON
- Full-time
Wellness Haus – A physician-led clinic blending evidence-based medicine with cutting-edge wellness care.
Added 4 hours ago
SS
Registered Practical Nurse - Temporary Full Time - 52.50 Hours Bi-weekly - Day
Sienna Senior Living
Mississauga, ON
- Full-time
Provide nursing care in accordance with established policy, physician’s orders, the resident plan of care, and within the scope of practice of an RPN/LPN.
Added 5 hours ago
TL
Clinical Lead (Contract)
T45 Labs
Remote, Canada
- Remote
…solution for mitral valve repair. Our team brings together physician inventors with T45 Labs’ product development, operations, and clinical and regulatory strategy expertise to advance the…
Added 5 hours ago
SV
Registered Practical Nurse - Retirement - Permanent Full Time
Schlegel Villages
Burlington, ON
- Full-time
Collaborate with the Neighbourhood Physician during weekly rounds and update care plans and directions accordingly.

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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