Senior Nurse Case Manager – Rare Disease

Accountabilities:

• Provide clinical support and education to patients and healthcare providers regarding diseases, therapies, treatment management, and available support services.
• Deliver inbound and outbound telephone support, including patient follow-up, maintenance, adherence, and other case-management calls.
• Apply established case-management protocols covering clinical monitoring, data collection, patient follow-up, compliance, therapy interruptions or discontinuation, and adverse event reporting.
• Coordinate the documentation and activities required to secure prescription drug coverage through private, public, and federal funding programs.
• Work with insurers, physician offices, healthcare professionals, pharmacies, and agencies to identify reimbursement solutions, coordinate medication delivery, and resolve access-related issues.
• Maintain accurate patient and case information, manage databases, and complete ongoing file and data audits.
• Communicate clearly with managers, team members, and relevant stakeholders regarding patient cases and case-management activities.
• Attend patient meetings, conferences, and specialized therapy training while developing relationships with patient associations, advocacy organizations, and pharmaceutical partners.
• Collaborate with program colleagues to develop and implement disease-management initiatives, patient materials, compliance parameters, needs assessments, and protocols.
• Support the onboarding and development of new Nurse Case Managers through activities such as shadowing and call monitoring.

Requirements:

• Fluency in both French and English is mandatory.
• Bachelor’s degree in nursing or a Registered Nurse diploma; an advanced degree or relevant practice-management experience is preferred.
• At least 5 years of nursing experience.
• Experience in healthcare and case management within a medical or hospital practice, insurance environment, or biopharmaceutical setting.
• Experience with third-party reimbursement, pharmaceutical sales, managed care, clinical support, or a related field is an asset.
• Ability to understand complex medical information and communicate it clearly and appropriately to patients and healthcare professionals.
• Strong patient focus, customer-service orientation, telephone etiquette, and written and verbal communication skills.
• Demonstrated ability to work independently, prioritize competing deadlines, multitask, and perform effectively under pressure.
• Strong negotiation, interpersonal, leadership, analytical, mathematical, business, and financial skills.
• Excellent attention to detail, organization, and problem-solving abilities.
• Proficiency with Microsoft Outlook, Word, and Excel, along with strong internet research and general computer skills.

Benefits:

• Salary: CAD $76,200–$119,460.
• Full-time employment.
• Medical, dental, and vision coverage.
• Comprehensive wellness resources supporting physical, emotional, financial, and social wellbeing.
• Family support programs that may include backup dependent care, adoption assistance, infertility coverage, and family-building support.
• Behavioral health resources.
• Paid parental leave and paid caregiver leave.
• Training and professional development opportunities.
• Mentorship programs and opportunities for continued learning.
• Employee resource groups and volunteer activities.
• Remote work across eligible Canadian provinces, including Ontario, British Columbia, Alberta, Manitoba, and New Brunswick, as listed in the source posting.