Nurse Case Manager, Montreal

Job purpose

The Field Nurse Case Manager (FNCM) will play an essential role in supporting patients living with a dermatological disease to improve both their health outcomes and quality of life. They will report to the Senior Manager of Patient Support Programs within the Medical Affairs department. FNCM will be accountable for day-to-day nursing and administrative operations of the patient support program (PSP), general oversight within their assigned territory. The successful candidate will represent Sun Pharma and work closely with the designated PSP.

Duties and responsibilities

FNCM offers enrolment and reimbursement support to physicians and medical case management services to patients. Assist the physician with the completion of 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.

• Educate physicians and/or their staff on various PSP services
• Liaise with physicians’ offices, pharmacies, service providers and other parties to provide comprehensive and coordinated service and resolve issues as they arise.
• Provide therapy guidelines to manage physician expectations with respect to reimbursement
• Assist MDs in completing Special Authorization (SA) forms, enrolment forms, prescription renewals, and other documentation
• Provide ongoing support and updates to physicians on their patients
• Customize current program elements to meet the needs of assigned physicians: adjust based on in-clinic and remote MD needs.
• Provide product support
• Participate in scheduled physician meetings with Sun Pharma or PSP personnel
• Regular travel to various physician offices
• Responsible for defined key performance indicators with in the given territory
• Acts as a liaison between PSP and external clinical staff
• Participate in quality assurance activities and continuous improvement initiatives
• Provide in-person and virtual support to internal and external stakeholders.
• Work directly with PSP and clinic to secure funding for patient’s therapies
• Adhere to Performance Standards and Procedures required by SUN and the PSP

Additional responsibility (Only applicable to customer facing roles)

Report any adverse event received from customers for company products to the pharmacovigilance department / Drug Safety on the same day or within 1 business day

Qualifications

• Graduate of Registered Nursing Program or Registered/Licensed Practical Nursing program holding current registration for Quebec province.
• Minimum 2 years’ experience in Patient Support Programs or equivalent
• Ability to engage with a physician and their staff as a trusted and well-informed medical counterpart
• Ability to resolve conflict in a professional manner
• Strong sense of organization and attention to detail, accurate data collection
• 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
• Adhere to Performance Standards and Procedures required by the PSP (Patient Support Program)
• Previous Case Manager experience an asset
• Understanding of provincial and private coverage criteria, Special Authorization processes and how to navigate the Canadian drug coverage landscape is an asset
• Strong critical thinking and problem-solving skills
• Strong computer and technical skills: Excel, Word, Outlook, Tablets
• Must be fluent in verbal and written communication in French and English

Working conditions

• Field based out of Montreal
• Must have a private, dedicated home office space with high speed internet access that accommodates equipment supplied by Sun Pharma Canada.
• Must have a valid driver’s license, a personal car with the capability and willingness to travel extensively across assigned territories, utilizing reliable personal transportation

Physical requirements

• Ability to travel, with overnight stays as needed

Direct reports

NA