Job Title

Location 150 - 8518 Glenlyon Parkway, Burnaby, British Columbia, V5J 0B6 About the Company At Shoppers Drug Mart, were innovating health and wellness in Canada. From prescriptions to walkin clinics, and a beloved loyalty program, were caring and supporting our customers in new ways every day. With more than 1,300 locally owned and operated stores from coast to coast, the Shoppers Drug Mart network is more than a great place to shop, its a great place to work. Were committed to building our talented team who champion collaboration, kindness and inclusivity. Join our team, and help recognize a healthy future for your career and for all Canadians. Why this role is important? The Nurse Field Case Manager (FCM) is responsible for a collaborative process of ongoing assessment, planning, facilitation, service coordination, evaluation, and advocacy to meet the needs of the patient/physician/client through flawless customer service. The Nurse Field Case Manager will deliver, through expert communication skills and available resources, quality and costeffective treatment outcomes for the patient. The Nurse Field Case Manager will work directly with the reimbursement team to help secure drug coverage. They will support physicians in managing all aspects related to facilitating patient access to therapy and will provide service in person or remotely according to customer preference. The Nurse Field Case Manager will help support a busy caseload in their respective territory, building strong working relationships, collaboration, effective communication and attention to detail both internally and externally to meet specific team and business objectives. In addition, the Nurse Field Case Manager will attend training sessions, complete selflearning assignments and independent studies while adhering to SDM Specialty Health Network Standard Operating Procedures, Policies, and the College of Nurses Standards of Practice. Responsibilities Assist the health care practitioner (HCP) in completing the Program enrolment form, as applicable. Educate the HCP on the Program enrolment requirements. Gather patient Program enrolment required information (physician signature, patient contact information, and product information). Provide reimbursement assistance to patients and physicians according to need. Provide physicians with payer documentation support. Investigate casebycase reimbursement options, channels, procedures, and prepare documentation in support of reimbursement requests. Determine patients channels and eligibility for reimbursement and provide assistance at all levels. Review patient status and assist the prescribing physician to populate Special Authorization forms (SA) for public or private coverage by reviewing patient charts, assessing previous therapies and test results to complete the SA. The above may be done on site, or remotely, as required. Ensure the coordination and followup of SA submissions with payers. Support treating physician in the development of appeal letters, as required. Act as a resource for treating physicians and provide guidance regarding payer reimbursement criteria. Assist patients and physicians with the annual prescription renewal process. Assist patients and physicians with the SA renewal process (most commonly annually), as applicable. Identify obstacles and delays to obtaining coverage, take appropriate action and identify alternative channels for patient coverage. Manage patient files in the program database. Educate the HCP and patients regarding Program services by providing general Program and Product information based on SOPs, Product Monograph, approved verbatim and other approved materials. Review and discuss comprehensive program components, services and valueadd program offerings. Act as a liaison and provide ongoing feedback to manufacturers based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance. Feedback and observations are channeled to the manufacturer as appropriate. Collaborate with sales reps and associates according to guidance and guidelines. Attend scheduled educational events as required. Report Adverse Events / Severe Adverse Events (AE/SAEs) in accordance with established agreements. Maintain high standards of professional practice by adhering to the ethics of the profession and keeping abreast of the latest professional advancements. Assume responsibility for personal and professional learning and development. Other responsibilities as required by SDMSHN. Qualifications Registered Nurse with a current, unrestricted license in the province of employment. BScN preferred, however, a combination of experience and education will be considered. Proficient in reimbursement landscape and completion of Special Authorization and Appeal Letters. Recent experience with Patient Support Programs (PSP) an asset. Demonstrated customer/account focus and consistently deliver on the PSP value proposition. Fluently bilingual in both written and spoken languages is an asset (French & English). Five or more years direct clinical experience. Strong communication and telephony skills. Demonstrated leadership experience and ability to work under pressure. Ability to provide an organized, efficient approach to case management. Possession of excellent skills in assessment, communication, critical thinking and decision making. Ability to demonstrate understanding of SDM Specialty Health Network policies, legal considerations and professional ethics. Proficiency of computer skills including Microsoft 365. Ability to adapt to a changing environment. Commitment to the principle of quality clientcentered service delivery. Travel required up to 60% in territory (some overnight may be required). Valid drivers license and reliable vehicle. Benefits Specialty Health Network (SHN) offers competitive salaries, a great benefit package, Shoppers Drug Mart discount, Goodlife gym discount, RRSP/Pension plans, Employee share ownership plan, professional training and development and many more perks. Shoppers Drug Mart was acquired by Loblaw in 2014, the largest employer in Canada offering endless career opportunities within a larger organization. Other Details Employment Type: Full time Type of Role: Regular Travel: Up to 60% within territory, some overnight required. Accommodation and Diversity Statement Shoppers Drug Mart values diversity in Canada and is committed to reflecting the growing diversity of our country through the people hired, our corporate culture and our products. Accommodations are available upon request for people living with disabilities during the recruitment, assessment, and postemployment process. Compliance with laws is part of our Code of Conduct, which outlines the expectations of our customers and stakeholders. Hiring Range $80,000.00 - $110,000.00 per year. Hiring Information The company uses artificial intelligence for the purpose of screening, assessing and/or selecting applicants for this position. English Version (Duplication Removed) Provided above: English content for the role description includes responsibilities, qualifications, benefits, and other details. French Version Infirmire gestionnaire de cas sur le terrain (FCM) Linfirmire gestionnaire de cas sur le terrain est responsable dun processus collaboratif dvaluation continue, de planification, de facilitation, de coordination des services, dvaluation et de dfense des intrts afin de rpondre aux besoins des patients, des mdecins et des clients grce un service la clientle sans faille. Linfirmire gestionnaire de cas sur le terrain fournira, grce des comptences de communication expertes et aux ressources disponibles, des rsultats de traitement de qualit et rentables pour le patient. Linfirmire gestionnaire de cas sur le terrain travaillera directement avec lquipe de remboursement pour aider obtenir une couverture des mdicaments. Ils aideront les mdecins grer tous les aspects lis la facilitation de laccs des patients la thrapie et fourniront des services en personne ou distance selon les prfrences du client. Linfirmire gestionnaire de cas sur le terrain aidera soutenir une charge de travail occupe dans leur territoire respectif, en tablissant des relations de travail solides, une collaboration, une communication efficace et une attention aux dtails linterne et lexterne pour atteindre des objectifs dquipe et daffaires spcifiques. De plus, linfirmire gestionnaire de cas sur le territoire assistera des sances de formation, effectuera des travaux dautoapprentissage et des tudes indpendantes tout en respectant les procdures oprationnelles normalises, les politiques et les normes de pratique du Rseau spcialis en sant de SDM et les normes de pratique du Collge des infirmires. Ce que vous ferez : Aider le praticien de la sant (PS) remplir le formulaire dinscription au Programme, sil y a lieu. Sensibiliser le PS aux exigences dinscription au Programme. Recueillir les renseignements requis sur linscription au Programme des patients (signature du mdecin, coordonnes du patient et renseignements sur le produit). Fournir une aide au remboursement aux patients et aux mdecins en fonction des besoins. Fournir aux mdecins un soutien en matire de documentation du payeur. Examiner les options, les voies et les procdures de remboursement au cas par cas et prparer la documentation lappui des demandes de remboursement. Dterminer les canaux et ladmissibilit des patients au remboursement et fournir de laide tous les niveaux. Examiner ltat du patient et aider le mdecin prescripteur remplir les formulaires dautorisation spciale (AS) pour la couverture publique ou prive en examinant les dossiers des patients, en valuant les traitements antrieurs et les rsultats des tests afin de remplir lAS. Ce qui prcde peut tre fait sur place, ou distance, au besoin. Assurer la coordination et le suivi des prsentations dAS avec les payeurs. Appuyer le mdecin traitant dans llaboration de lettres dappel, au besoin. Agir titre de ressource pour les mdecins traitants et fournir des conseils concernant les critres de remboursement des payeurs. Aider les patients et les mdecins dans le processus annuel de renouvellement des ordonnances. Aider les patients et les mdecins dans le processus de renouvellement de lAS (le plus souvent chaque anne), sil y a lieu. Cerner les obstacles et les retards dans lobtention de la couverture, prendre les mesures appropries et dterminer dautres voies de couverture pour les patients. Gestion des dossiers des patients dans la base de donnes du programme. Sensibiliser le PS et les patients aux services du Programme en fournissant des renseignements gnraux sur le programme et le produit en fonction des PON, de la monographie de produit, du verbatim approuv et dautres documents approuvs. Examiner et discuter des composantes compltes du programme, des services et des offres de programmes valeur ajoute. Agir en tant quagent de liaison et fournir une rtroaction continue au fabricant en fonction des observations sur le terrain et des commentaires des clients en ce qui concerne la qualit des services, la formation et dautres domaines dimportance. La rtroaction et les observations sont achemines au fabricant, sil y a lieu. Collaborer avec les reprsentants menteurs et les associs conformment aux directives et aux directives. Assister des activits ducatives prvues au besoin. Signaler les vnements indsirables et les vnements indsirables graves (EE/EES) conformment aux ententes tablies. Maintenir des normes leves dexercice professionnel en adhrant lthique de la profession et en se tenant au courant des dernires avances professionnelles. Assumer la responsabilit de lapprentissage et du perfectionnement personnels et professionnels. Autres responsabilits exiges par le SDMSHN. Ce dont vous aurez besoin : Infirmire autorise titulaire dun permis dexercice sans restriction dans la province demploi. BScN prfr, cependant, une combinaison dexprience et dducation sera considre. Matrise du paysage des remboursements et de lachvement des lettres dautorisation spciale et dappel. Lexprience rcente avec les programmes de soutien aux patients (PSP) un atout. Mise en vidence de lorientation client / compte et de la livraison cohrente sur la proposition de valeur PSP. Le parfaitement bilingue dans les langues crites et parles est un atout (franais et anglais). Cinq ans ou plus dexprience clinique directe. Solides comptences en communication et en tlphonie. Exprience dmontre en leadership et capacit travailler sous pression. Capacit de fournir une approche organise et efficace de la gestion des cas. Possession dexcellentes comptences en valuation, en communication, en pense critique et en prise de dcision. Capacit de dmontrer sa comprhension des politiques, des considrations juridiques et de lthique professionnelle du Rseau de soins de sant spcialiss en SDM. Matrise des comptences informatiques, y compris Microsoft 365. Capacit de sadapter un environnement changeant. Engagement lgard du principe de la prestation de services de qualit axe sur le client. Permis de conduire valide et vhicule fiable. Legal and Compliance Shoppers Drug Mart Inc. recognizes Canadas diversity as a source of national pride and strength. Accommodations are available upon request for applicants with disabilities in the recruitment and assessment process and when hired. In addition, we believe that compliance with laws is about doing the right thing. Upholding the law is part of our Code of Conduct it reinforces what our customers and stakeholders expect of us. Application Process Please note: If you have Employee Self Service (ESS) on Workday, apply to this job via the Workday application. #J-18808-Ljbffr