Nurse Case Manager

Responsibilities

• Provide support to patients and health care providers by offering information on the Patient Support services, specific diseases, and therapies based on manufacturer provided materials and product monograph;
• Assist patients and caregivers in conducting assessments related to Patient Support services;
• Act as a liaison between patients, families and health care providers related to medication access.
• Address general inquiries regarding program services, disease states, or product related queries based on provided materials;
• Offer continuous support on disease states or product-related questions to ensure patient adherence;
• Refer the patient to their healthcare providers for clinical questions beyond program materials;
• Document patient information and interactions within the electronic patient record;
• Conduct ongoing file review and updates to reflect patient journey ;
• Follow case-management protocols, including data collection, patient follow-up, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers;
• Collaborate with the reimbursement specialist and the physician to secure funding for their patient’s therapies and explore alternative funding options;
• Ensure patient services are coordinated and tracked, according to KPI’s, resulting in expedited access to therapy;
• Participate in specialized training sessions for specific therapies provided by the pharmaceutical team;
• Attend pharmaceutical meetings, patient meetings, conferences, and work with patient associations and advocacy groups as needed ;
• Coordinate with health care providers, pharmacies and infusion/injection clinics for treatment logistics and issue resolution ;
• Maintain clear communication with the manager, team and the client regarding the management of patient cases;
• Assist in the training process of new Nurse Case Managers and provide feedback on protocols, databases, processes and inter-departmental processes;
• Report Adverse Events / Severe Adverse Events following program procedures;
• The Nurse Case Manager will also be assigned other duties and tasks as required from time to time. May be required to be on standby/ on call as part of this role.