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Bilingual (English/French) Senior Caseworker in Oakville at Innomar Strategies

Date Posted: 4/11/2018

Job Snapshot

Job Description

POSITION SUMMARY:
 

Reporting to the Associate Program Manager, the Senior Caseworker is responsible for undertaking the management of specific projects or cases assigned to him/her, within the Specialty Services Department. The Senior Caseworker is responsible for overall management of their patient cases.

 
PRIMARY DUTIES AND RESPONSIBILITIES:
  • Working closely with assigned patients’ to identify various reimbursement coverage options and investigate financial options for those without insurance.
  • Assist with the coaching and mentoring of existing team members.
  • Manage a patient caseload larger than their caseworker counterparts.
  • Be a reimbursement expert
  • Provides other caseworker(s) assistance with complex reimbursement, insurance benefit investigation, special authorization, and appeal requests.
  • Participate in special projects as assigned by the Program Manager.
  • Provide daily support to Associate Program Manager(s)
  • Assist management with various reports and program related tasks.
  • Work with management to develop program protocol and SOP for Caseworker role.
  • With management, lead training of new caseworkers, including but not limited to shadowing & call monitoring.
  • Regularly Interacts with insurance companies, physician' offices, and healthcare professionals to provide optimal reimbursement support
  • Assists the patient with Clinic and Pharmacy selections, and schedules patient appointments
  • Generates drug orders ensuring that required information is faxed to the pharmacy, and related parties.
  • Adherence to the general company processes.
  • Telephone Support: Implementing call-centre programs including the provision of patient, healthcare professional and funding bodies with telephone support.
  • Administer and adhere to case-management protocols, including clinical monitoring, data collection, on-going patient follow-up, compliance, therapy disruption/discontinuation monitoring, adverse event reporting and liaison with primary healthcare providers;
  • Implementing pharmaceutical and biotechnology related market research initiatives with physicians, patients, pharmacists or other allied health professionals;
  • All patient programs are based on casework methods and include a significant amount of out-bound calls.
  • Document each activity in program specific database.
  • Participate and attend on-going refresher training and in specialized training courses for specific products or programs as deemed appropriate by the manager.
  • Clear communication to manager, pod, and program trained colleagues regarding the management of cases during foreseen absences.
  • The Senior Caseworker will also be assigned other duties and tasks as required from time to time.