Patient Care Navigator

Job description

Accountabilities: Coordinate end-to-end patient access to specialty therapies, including biologics and biosimilars, ensuring timely initiation of treatment pathways. Manage referral intake, documentation accuracy, and submission processes for reimbursement and funding approvals. Collaborate with insurers and support teams to facilitate prior authorization, special authorization, and appeals processes. Educate patients and healthcare providers on therapies, eligibility criteria, disease areas, and treatment pathways. Support physicians with reimbursement navigation and administrative requirements for therapy access. Track patient cases in PSP systems, ensuring adherence to KPIs, timelines, and service standards. Coordinate with clinics and pharmacies to align treatment scheduling and medication delivery. Monitor patient progress, adherence, and therapy interruptions, escalating issues when needed. Report adverse events according to regulatory and internal compliance requirements. Work cross-functionally with clinical, reimbursement, and operations teams to optimize patient experience and program performance. Identify opportunities to improve workflows, service quality, and access efficiency. Requirements: Bachelor’s degree in Nursing, Pharmacy, or a related healthcare discipline (or equivalent experience). 4+ years of experience in healthcare, patient services, case management, or clinical support roles. Strong experience with patient support programs, reimbursement processes, or payer systems. Solid understanding of Canadian public and private healthcare funding systems. Familiarity with prior authorization, appeals, and specialty therapy access pathways. Experience in biologics, immunology, oncology, or specialty pharmacy environments is an asset. Knowledge of PSP platforms, CRM systems, or healthcare case management tools. Strong clinical judgment, problem-solving abilities, and stakeholder coordination skills. Ability to work independently in a remote, fast-paced, and high-volume environment. Bilingual proficiency in English and French is considered an advantage. Benefits: Competitive base salary ranging from $81,500 to $108,600 annually. Eligibility for annual bonuses and long-term incentive programs. Fully remote work arrangement across Canada. Opportunity to work in a high-impact healthcare environment improving patient access to therapies. Exposure to complex clinical cases and advanced specialty treatment pathways. Collaborative, cross-functional work culture with strong professional autonomy. Potential for occasional travel for training or team collaboration sessions. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1 This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Patient Care Navigator in Canada. This role sits at the center of a virtual, clinic-based patient support ecosystem focused on specialty and biologic therapies. You will act as a key liaison connecting patients, physicians, insurers, pharmacies, and internal care teams to ensure seamless access to treatment. The position combines clinical knowledge with strong coordination and case management expertise in a fast-paced healthcare environment. You will oversee complex patient journeys, from referral to reimbursement approval and ongoing therapy support. The work directly impacts patients’ ability to access life-changing medications in a timely and efficient manner. It requires autonomy, precision, and a strong commitment to improving healthcare access and patient outcomes. This is a fully remote role with collaboration across multiple healthcare stakeholders nationwide.