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Added 5 mins ago
U
Human Resources Manager
Univeris
Toronto, ON
- Full-time
Serving as the HR Manager, you will own North American HR operations end-to-end while leading the company-wide programs that determine whether Univeris attracts and retains top talent. This…
Added 5 mins ago
Crate Wash Lead
Hilton Food Group Plc
Brantford, ON
Manage bottlenecks and ensure balanced throughput across all process stages
Added 5 mins ago
Crate Inbound Operator
Hilton Food Group Plc
Brantford, ON
Monitor flow conditions and adjust handling to avoid bottlenecks and control crate feed rate in alignment with washing capacity to prevent overloading, congestion, or process disruptions
Added 5 mins ago
B
Director, Business Development, Pension Risk Transfer
BMO
Toronto, ON · Montreal, QC · YNG
- Full-time
Act as a key point of contact for consultants and clients throughout the PRT transaction process.
Added 5 mins ago
GS
PHARMACY COORDINATOR - FULL TIME/PERMANENT
Green Shield Canada
Burnaby, BC
- Full-time
Prepare and process prescriptions, including insurance claims, billing documentation, and third-party reimbursement and appropriate paperwork.
Added 5 mins ago
BP
Retail HR Manager
Bass Pro Shops
Calgary, AB
- Full-time
The Human Resources Manager is a key leadership role in the retail store and responsible for recruitment, onboarding, employee relations, performance management, employee engagement,…
Added 5 mins ago
RC
Project Manager - Bedford NS
rcs Construction
NS · Bedford, Nova Scotia
- Full-time
Our Projects team is growing here at rcs construction. We are on the lookout for a Project Manager to join our team based in our Bedford office. Are you seeking to gain experience in a fun,…
Added 5 mins ago
FL
Experienced Associate, Audit
Fuller Landau
Toronto, ON
- Full-time
Identify accounting issues and collaborate with Senior Associate or Manager to develop work plans
Added 5 mins ago
CA
Assistant Resident Manager (Part-Time)
Centurion Asset Management Inc.
Huntsville, ON
- Part-time
Our mission is to be sought after as a leading-edge, reputable, multi-disciplinary alternative asset manager; to capitalize on opportunities in new and interesting investment strategies…
Added 5 mins ago
DW
IT Project Manager
Durabuilt Windows & Doors
AB
- Full-time
We are looking for an experienced IT Project Manager to lead business critical technology projects and help establish practical, scalable project management standards across our growing…
Added 5 mins ago
EA
Operations Manager, Below the Wing
Executive Aviation
Halifax, NS
- Full-time
Executive Aviation is excited to announce that we are looking for an Operation's Manager – Below the Wing for our Halifax (YHZ) team. The Operations Manager will act as the accountable…
Added 5 mins ago
CM
IT Support Specialist
CASA Mental Health
AB
- $30.05 to $37.23 CAD / hour
- Full-time
Reporting to the Manager, Information Technology, the IT Support Specialist provides technical assistance and end-user support across the organization including consultation, installation,…
Added 5 mins ago
HP
372-26 Building Support Services - HVAC, Facilities Management, Full-Time, Stratford (Alliance Wide)
Huron Perth Healthcare Alliance
Stratford, ON
- Full-time
Directly responsible to the Manager, Facilities Management for effectively and efficiently providing quality maintenance services as assigned.
Added 5 mins ago
I
Full-Time Front Office Manager
IHG
Toronto, ON
- Full-time
…Toronto Centre currently has an opening for a Front Office Manager. If you are passionate about hospitality and take pride in offering exceptional service, we would love to have you be a…
Added 5 mins ago
IF
Director Marketing Technology Analytics & Digital Platforms
Intact FC
Montreal, QC
- Full-time
Proven expertise in modern MarTech ecosystems such as Salesforce Marketing Cloud, Adobe Experience Manager, Adobe CJA/Analytics, etc.
Added 5 mins ago
HI
Insurance Advisor, Mobile Auto
HUB International
Richmond, BC
- Full-time
…administration, to becoming a full-time producer or account manager, we have a role for you. Our culture is renowned within the industry, and we value our people. Helping our clients…
Added 5 mins ago
SD
Gérant(e) Beauté, salarié(e) – SDMR temps plein jour Embauche feu vert
Shoppers Drug Mart
St.-Jean-Chrysostome, QC
- Full-time
…applicants with disabilities in the recruitment and assessment process and when…
Added 5 mins ago
PA
Automotive Sales Representative
Pfaff Automotive Partners Inc.
Thornhill, ON
- Full-time
Guide customers through the sales process from initial inquiry through vehicle delivery.
Added 5 mins ago
HA
Commissioning Manager (Electrical)
Haag, a Salas O'Brien Company
Canada
- Full-time
VSC is known in the industry for upholding the highest standards and methods for the commissioning process. Our team of engineers, technicians and technologists with many decades of…
Added 5 mins ago
HA
Commissioning Manager (Mechanical)
Haag, a Salas O'Brien Company
Canada
- Full-time
VSC is known in the industry for upholding the highest standards and methods for the commissioning process. Our team of engineers, technicians and technologists with many decades of…
Added 20 mins ago
CO
Manager Policy and Risk Management
City of Saint John
Saint John, NB
- Full-time
The Manager Policy and Risk Management is responsible for research and analysis, policy and procedures, and risk management.
Added 20 mins ago
CO
Human Resources Generalist
City of Saint John
Saint John, NB
- Full-time
Assist in the implementation and administration of Human Resources systems, programs, and process improvements.
Added 20 mins ago
AR
Leasing Manager - Bilingual
Akelius Residential Property AB
Ottawa, ON
- Full-time
Be responsible for compiling complete application files, preparing leases, and handling all aspects of the move-in process.
Added 20 mins ago
RM
Manager
Ross Memorial Hospital
Kawartha Lakes, ON · Lindsay, ON
- Full-time
The Unit Manager reports to the Director of Medicine, ICU, Respiratory and Post Acute Care. They promote, facilitate, and manage the unit environment in such a way that patients receive…
Added 20 mins ago
IR
Public Health Nurse
Interlake-Eastern Regional Health Authority
Ashern, MB
- Full-time
Reporting to the Clinical Team Manager – Public Health, the Public Health Nurse applies public health sciences and nursing theory to promote, protect and preserve the health of populations.…

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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