About Calian

At Calian, we help organizations overcome obstacles, manage risks, and drive progress. Since 1982, we’ve grown from a small consulting firm into a trusted global company across defence, space, health, nuclear energy, public safety, and government.

We create innovative solutions that tackle complex challenges and help organizations and communities stay resilient, informed, and connected. If you’re driven by purpose and energized by solving real-world challenges, we want you on our team.

Job Type: Full-Time, 1 year contract (renewable)

At Calian, we help organizations overcome obstacles, manage risks, and drive progress. Since 1982, we’ve grown from a small consulting firm into a trusted global company across defence, space, health, nuclear energy, public safety, and government.

We create innovative solutions that tackle complex challenges and help organizations and communities stay resilient, informed, and connected. If you’re driven by purpose and energized by solving real-world challenges, we want you on our team.

Position Overview The Nurse Case Manager (NCM) is responsible for managing all aspects of the reimbursement environment and program support for assigned physicians in each geographical area. An expert in regional government payer policies and procedures, the NCM supports the regional needs of the client and works directly with the in-house team to facilitate the enrolment, reimbursement, and scheduling process to ensure patients have easy access to their prescribed therapy. The individual also assists the physicians in assessing the needs of each patient resulting in increased patient program enrollment and improved patient outcomes.

Key Responsibilities

- Customizes program elements to meet the needs of assigned prescribing physicians.
- Reviews patient status and assists the prescribing physician to complete patient enrolment, prepare Special Authorization (SA) petitions for public or private coverage by auditing patient charts, assessing previous therapies and tests to complete the SA.
- Completes all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.




- Welcomes each patient to the program and captures required patient information.
- Provides therapy guidelines for patients and physicians. Proactively helps resolve client issues with regards to assigned physicians.
- Ensures patient services are coordinated and tracked, according to KPI’s, resulting in expedited access to therapy.
- Coordinates private and public coverage activity directly with insurers following program Standard Operating Procedures.
- Follow up with patients regarding the outcome of reimbursement navigation.
- Provide information and navigate patient through financial assistance.
- Identifies obstacles to obtaining coverage and channels this information to the Associate Program Manager.
- Participate in scheduled Key Opinion Leader (KOL) physician meetings with Sales Representatives.
- Develops strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed.
- Provides service presentation to KOL physicians in collaboration with the Sales Representatives on new program initiatives.
- Acts a liaison and provides ongoing feedback to the Patient Assistance Program based on observations in the field and feedback from customers as it pertains to quality of services, training, and other areas of importance.
- Maintains ongoing communication with Program Manager, physicians, physician office staff, client representatives, patients and nursing team as requires.

Essential Qualifications

- College or university degree in nursing.
- Holds a current and active nursing license in good standing in their province of residence
- English and French bilingualism – required.




- 2-3 years of practical clinical experience as a health care professional.

Desirable Qualifications

- 1-2 years of case management experience preferred.
- Experience and background in various therapeutic areas are an asset.
- Experience in public or private third-party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support is an asset.
- Background in business administration (pharmaceutical), sales and marketing an asset.
- Knowledge of private and public reimbursement structure, systems, and process is an asset.
- Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation is an asset.

Competencies
- Proven track record of leadership abilities, demonstrating proactiveness in identifying customer needs and ownership in executing solutions.
- Strong communication and interpersonal skills.
- Ability to develop skilled relationships effectively with external customers and internal associates.
- Organizational skills that demonstrate ability to prioritize and manage deliverables, and to effectively navigate within a matrix organization.
- Ability to establish and encourage patient autonomy.
- Ability to manage challenging patient situations with empathy and patience.
- Ability to understand and apply medical and/or business knowledge to all aspects of role while complying with professional and ethical standards of practice.
- Computer skills (Word/Excel).

Working Conditions
- Fully Remote
- Work Schedule: Monday to Friday, 12:00 PM – 8:00 PM EST

Compensation

- $76,000 – $80,000/year
- Paid Vacation
- Benefits Available

Vacancy
- We have 1 available position.

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AI Usage Disclosure

At Calian, we do not use Artificial Intelligence (AI) to screen or evaluate candidates. AI tools may support backend administrative tasks, but they do not influence hiring decisions. All evaluations and decisions are made by real people on our recruitment team and hiring managers. All applicants are reviewed and only those chosen for an interview will be contacted by our recruiting team.

📌 Bilingual Nurse Case Manager (Canada)
🏢 Calian in Space u0026 Technology
📍 Canada