Remote Care Navigator; Remote

Position: Remote Care Navigator (Remote)
Position Type:  Full-Time

Department:  Patient Programs

Work Location:

Ontario, Canada

Work Arrangement:  Remote

Work Hours:

Monday to Friday
-Standard Business Hours, Flexibility Between 8:00am – 8:00pm (EST)

Travel Required:

No

A proudly Canadian company, Sentrex Health Solutions is a fully integrated specialty distributor and patient support provider for pharmaceutical manufacturers, physicians, and their patients. We provide innovative solutions focused on ensuring patients have access and the support they need to maximize their treatment outcomes. We do this through strategic distribution models and patient support programs that are backed by powerful, integrated technology, a dedicated in-house creative agency, and experienced, cross-functional teams.

Our core capabilities include Specialty Pharmacy Services, Customized Solutions for Warehouse, Wholesale & Distribution, Patient Support Programs, Strategic Creative Services as well as HCP & Clinic Services.

Come and join our team! But first, let us tell you why we love working here:

We are 100% Canadian with locations across the country

State-of-the-art facilities to provide high-quality products and services

The opportunity to be a part of a winning, high-performing team

Collaborative, engaging workplace culture – we are passionate about our people!

Flexible working environment that promotes a healthy work-life balance

Diverse and inclusive culture where your talent and commitment to excellence is welcomed and valued

High-growth environment that provides opportunities for learning and growth supported by our Employee Development Program and industry-leading, in-house corporate training offered throughout the year

The Opportunity:

The Care Navigator is responsible for managing all the aspects of the enrollment, reimbursement process, and service coordination for patients enrolled into the Patient Support Program (PSP). The Care Navigator will assist physicians/clinics and patients with drug coverage, oversee submissions to private and provincial drug plans, ensure timely access to prescribed therapies, and provide continuous patient support using strong communication and available resources.

A Day in the Life (What you will do here):

Act as the primary point of contact for all patient related elements of the PSP.

Responsible for the timely enrollment of the patient into the Patient Support Program.

Telephone support (including maintenance calls and adherence support both inbound and outbound as needed).

Collaborate with the patient, insurer, and physician regarding the documentation necessary for maximal reimbursement coverage, including the investigation of all public and private insurers and supporting employer escalations as required.

Reviews the patient status and assists the prescribing physician to prepare documentation for public or private coverage by reviewing patient charts, assessing previous therapies and tests.

Provides therapy guidelines/education on the program to manage patient and physician expectations.

Collects information and conducts patient financial assessment eligibility based on program guidelines.

Liaise with physicians’ offices, pharmacies, infusion/injection services providers and other parties to provide comprehensive and coordinated service to patients and physicians and resolve issues as they arise.

Ensures patient services are coordinated and tracked in a timely manner resulting in quick and continued access to therapy.

Review, analyze and validate information provided by patients for accuracy and completeness to ensure initiation and continuation of services.

Maintain service levels in case management, including telephone answer rates, time to initiate contact with the patient, Adverse Events reported as per SOPs, and any…