23 Oct
|
Jobgether
|
Toronto
Our partner is looking for a Senior Case Manager (SCM) based in Canada (Remote).
The Senior Case
Manager plays a key role in delivering high-quality patient support services and improving access to specialty medications across Canada. This position combines hands-on patient case management with operational coordination, quality assurance, and internal team support. The role also contributes to team development, process improvements, and data integrity initiatives.
Working in a collaborative, patient-focused setting, the Senior Case Manager helps ensure timely access to treatment and continuity of care. This is a full-time, 12-month contract offering the opportunity to make a meaningful impact on patient experiences and program performance. Serve as the primary point of contact for patients enrolled in support programs and prescribing physicians, where applicable.
Conduct welcome calls, collect relevant patient information, obtain consent, and explain available program services, including reimbursement assistance, self-injection training, prescription coordination, and adherence monitoring. Guide patients through public and private reimbursement pathways, including coverage assessments, insurance documentation, financial assistance applications, and renewal processes. Support specialty pharmacies with billing coordination and facilitate medication delivery and adherence follow-ups.
Act as the first point of contact for internal escalations, helping resolve concerns that could disrupt the patient journey. Collaborate with program leadership on special projects, process improvements, training initiatives, team rollouts, and operational priorities. Participate in monthly patient file audits, identify trends and training opportunities, and contribute to data integrity and exception report management.
Maintain accurate patient records and detailed case notes in the CRM system, ensuring documentation is complete and up to date. Report adverse events and product quality complaints immediately upon awareness, following applicable program requirements. Monitor service delivery against key performance indicators, including call answer rates, reimbursement timelines, reporting obligations, and other quality standards.
Act as a knowledgeable resource for internal and external stakeholders while contributing to continuous improvement, quality assurance, and compliance initiatives. Post-secondary education in healthcare, life sciences, social services, or a related field. At least two years of experience preferred in case management, reimbursement support, patient navigation, or a similar role, ideally within specialty pharmaceuticals or patient support programs.
Strong understanding of Canadian public and private reimbursement systems, including programs such as RAMQ, ODB, and NIHB. Familiarity with CRM platforms such as Salesforce, ACCESS CRM, or comparable systems. Strong communication, interpersonal, and relationship-building skills, with a compassionate and patient-centered approach.
Experience supporting training, quality assurance, file audits, or process improvement initiatives is an asset. Bilingual proficiency in English and French is an asset but not required.
Contract duration: Full-time contract. Remote, based in Canada. Opportunity to improve patient access to specialty medications and support continuity of care. Exposure to patient support program operations, reimbursement processes, quality assurance, training, and continuous improvement. Additional benefits, such as healthcare coverage, paid time off, bonuses, or equipment allowances, are not specified in the available . #
📌 Senior Case Manager (SCM) (Toronto)
🏢 Jobgether
📍 Toronto