CAN, QC, Canada
6 days ago
Infirmière Gestionnaire de Cas Bilingue / Bilingual Nurse Case Manager

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

Description de Poste

Ce poste est à temps plein et permanent. Il s'agit d'un rôle hybride avec possibilité de déplacement si nécessaire.

Doit être capable de parler, lire et écrire couramment en anglais et en français. Pour gérer le territoire du Québec et de l'Atlantique, une disponibilité principalement en soirée (de 12h à 20h) est requise.

Résumé du Poste

Le Gestionnaire de Cas Infirmier bilingue est un membre essentiel de l'équipe des services aux patients, responsable de la coordination et de la prestation des services liés aux programmes de soutien aux patients offerts par McKesson Specialty. Le rôle implique des interactions avec les patients, les compagnies d'assurance, les pharmacies, les médecins et d'autres professionnels de la santé (HCP) pour fournir un soutien à leurs patients. Le rôle nécessite la compréhension et l'adhésion aux procédures opérationnelles standard spécifiques à l'entreprise, division, département et programme.

Section A : Responsabilités Spécifiques

Le Gestionnaire de Cas Infirmier bilingue est le point de contact pour le programme, les médecins, les pharmacies et autres professionnels de la santé.Au cours des 3 à 4 premiers mois suivant l'embauche, le GCI rencontrera les cliniques clés pour établir une relation continue.Peut être amené à fournir des formations et des documents éducatifs aux patients concernant leur médication et effectuer des suivis d'adhérence.Examiner, analyser et valider les informations fournies par les patients et les HCP pour garantir l'exactitude et l'exhaustivité nécessaires à l'initiation des services.Suivre les protocoles du programme pour garantir la continuité de la prestation de services.Effectuer des suivis avec les patients au nom des cabinets médicaux pour assurer l'adhérence aux régimes de traitement.Collaborer avec le patient, l'assureur et le médecin concernant la documentation requise pour une couverture maximale.Traiter les activités de saisie de données des informations pertinentes reçues à différents points de contact.Répondre aux appels de renseignements généraux sur les services du programme, l'état de la maladie ou les questions liées aux produits.Fournir un aperçu technique du produit aux HCP et aux patients si nécessaire.Collaborer avec les cabinets médicaux, les prestataires de services et d'autres parties pour offrir un service complet et coordonné.Recevoir, enregistrer et signaler les événements indésirables selon les instructions de travail du programme.Maintenir les niveaux de service dans la gestion des cas.Effectuer la saisie de données, répondre aux appels entrants, passer des appels sortants, gérer les e-mails et les logiciels de fax, fonctions administratives générales.

Section B : Responsabilités Générales

Adhérer aux normes professionnelles prescrites par les associations professionnelles et McKesson.Participer aux activités d'amélioration continue du département.Participer au développement de rapports et d'outils pour identifier les signaux de mauvaise compréhension, inconduite, fraude ou autres incidents.Aider à l'examen des données agrégées pour identifier les tendances du programme.Soutenir les patients et les HCP avec la formation, l'éducation et les services d'injection.Servir de point de contact principal entre le programme et les parties prenantes.

Section C : Compétences

Connaissances/Éducation : Infirmier diplômé avec inscription en cours. Compréhension et respect des procédures opérationnelles standard.Expérience : Plus d'un an et jusqu'à trois ans d'expérience. Capacité démontrée à communiquer efficacement de manière empathique. Expérience dans le secteur de la santé préférée.Compétences Informatiques/Applications : Utiliser des applications Windows, web et systèmes informatiques propriétaires.Résolution de Problèmes : Résoudre les problèmes efficacement, même dans des circonstances complexes.Service à la Clientèle Externe : Excellentes compétences en service à la clientèle.Planification/Coordination du Travail : Initier et coordonner les activités avec les membres du groupe de travail.Innovation/Proactivité : Suggérer des innovations, essayer différentes approches pour résoudre les problèmes.

Conditions de Travail

Capacité à travailler de manière autonome et à prendre des décisions appropriées.Peut être amené à faire des rotations de quart de travail.

Compétences Linguistiques :

Capacité à communiquer à l'écrit et verbalement en anglais et en français est souhaitée.

Déplacements :

Jusqu'à 10 % de déplacements peuvent être requis.Permis de conduire valide requis.Capacité à demander une carte de crédit d'entreprise pour les dépenses de déplacement.

___________________________

Job Description

This is a full-time, permanent role. Hybrid role with possibility to travel if required

Must be able to speak, read and write English and French fluently. To handle Quebec and Atlantic territory, primarily rotating evening shift (12pm-8pm) availability required.

Job Summary    
 

The Nurse Case Manager is an integral part of the Patient Services team, responsible for the coordination and delivery of services related to the patient support programs offered by McKesson Specialty. The role involves interactions with patients, insurance companies, pharmacies, physicians and other health care professionals (HCPs) and provide support to their patients.  The role involves understanding, adherence to corporate, divisional, departmental, and program specific standard operating procedures.


Section A    Specific Responsibilities

The Nurse Case Manager is the point of contact for the program, doctors, pharmacies and other HCP’sDuring the first 3-4 months of hire, NCM will be meeting key clinics for a face to face meet and greet to develop ongoing relationship with the clinics.May be required to provide training and educational materials to patients pertaining to their medication and conduct adherence follow upsReview, analyze and validate information provided by patients and HCPs for accuracy and completeness to ensure initiation of servicesFollow the program protocols to ensure that the most appropriate next step is scheduled to ensure continuity of service delivery to HCPs and patientsComplete follow ups with patients on behalf of the physician offices, as required, to ensure adherence to treatment regimensLiaise with the patient, insurer and physician regarding the documentation required for maximum reimbursement coverage, including the exploration of all public and private insurers and providing employer escalations as requiredProcess data entry activities of pertinent information received at different points of contact during the delivery of program servicesProvide answers to general inquiry calls submitted via telephone, web-based platforms or in person, on program services, disease state or product related questions, based on information provided as part of the program materialsProvide HCP and Patients with a technical product overview when requiredLiaise with physicians’ offices, services providers and other parties to provide comprehensive and coordinated service to patients and physiciansReceive, record and report Adverse Events, as per program working instructionsMaintain service levels in case management, including Adverse Events reported within twenty-four hours of receipt and any other Key Performance Indicators established at the Program levelPerform data-entry, answer inbound calls, make outbound calls, manage e-mail and fax software, general administrative functions including faxing, filing, scanning.Other duties as assigned

Section B    General Responsibilities

Adhere to professional standards as prescribed by the professional associations and     McKesson as applicableParticipate and assist in departmental continuous improvement activities related to process, quality, training Participate in the development of reports and tools for identifying signals that will flag misunderstanding, misconduct, fraud or other out of protocol program participant related incidents Assist with reviews of aggregate data to identify program trends and communicate these trends appropriately  Maintain program data accuracy through review of program documentation for completeness and consistency Support patients and HCPs with training, education and Injection servicesPerform data-entry, answer inbound calls, make outbound calls, manage e-mail and fax software, general administrative functions including faxing, filing, scanning.Act as lead point of contact between the program and stakeholders and works with clinics and client sales reps.

Section C    Competencies

Knowledge/Education 

Registered Nurse with current registration Understanding and compliance with corporate, divisional, departmental and program   specific standard operating procedures 

Experience: 

More than one year and up to three years experience in a previous job or jobs Demonstrated ability to communicate efficiently and in an empathetic manner over the phone and in personExperience in the healthcare industry including, but not limited to medical claims, insurance verification, pharmacy and/or pharmaceutical manufacturers is preferable.

Computer/Application Skills 

Required to use menu-driven retrieval and search functions on Windows based applications, web-based applications and proprietary information technology systems; ability to use a switch-based telephony software, etc. 

Problem Solving

Navigates quickly and effectively to resolve problems and obstacles, even when complex and unique circumstances occur; responds to recurring problems by investigating the underlying causes and taking steps to eliminate them. Only difficult problems are referred to supervisor Dermatology experience is a plus


External Customer Service 


Excellent customer service skills in dealing with patients, physicians, and other clients 
Resolve customer complaints 

Planning/Coordinating Work: 

Required to initiate planning and coordination of activities with other members in the work group, make appropriate adjustments to one’s own work plans 

Innovation/Proactivity: 

Expected to suggest innovations to the supervisor, which affect the job or its workflow. Tries different approaches when initial efforts to solve problems fail; anticipates possible problems and develops alternatives 

Working Conditions

Able to work independently and make appropriate decisions May be required to rotate shifts 

Language Skills: 

 Ability to communicate written and verbally in both English and French is desired

Travel:

Up to 10% of travel may be requiredValid driver’s license requiredAbility to apply for corporate credit card for travel expenses

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$47,400 - $79,000

McKesson is an Equal Opportunity Employer

 

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

 

Join us at McKesson!

Confirm your E-mail: Send Email