Case Manager - Occupational Health - St. John's, NL

Description

Create awesome experiences for our customers.

Join our team

Telus Health Care Centre (THCC) is a occupational health clinic. We are Canada’s leading provider of corporate health services, delivering integrated health management programs nationwide.

With a team of highly skilled professionals, THCC provides clinical and remote medical services across Canada. Offering a full range of occupational health services from pre-employment screenings, to rehabilitative services for the ill or injured worker, to complete on-site clinic management in some of the most remote and a harsh area of the country, THCC is the chosen partner for proactive health management programs.

Here's the impact you’ll make and what we’ll accomplish together

Case Managers play a key role in managing disability claims, work related injuries and accommodation requests from our clients.

This entails coordinating the entire process of adjudicating claims, reintegrating employees to work after an absence, or change in their medical condition, including disability claims, work injury or any other medical condition.

The focus of the Disability Case Manager position is to effectively manage any absence from work and / or restrictions followed by timely and appropriately implementing a return to work plan.

This includes well-timed updates with the employee as well the clients and / or insurers to ensure the most effective and safe return to work plan is implemented

Here’s how

• With strong attention to detail and analytical ability, review claim forms, medical reports, investigation reports, contract provisions etc.
• Effectively record inbound / outbound communication
• Provide written and verbal communication to claimants, clients, administrators, doctors, lawyers, other insurers, etc : re : claim inquiries and outcome
• Review claims with Medical Director and Legal Department as required
• Using sound judgement, assess waiver of premium eligibility and determine eligibility of claims and fitness to work
• Develop and implement return to work strategies
• Interact and develop good relationship with several stakeholders to facilitate best results
• Other duties as assigned
• Adheres to and promotes TELUS values and culture

Qualifications

You're the missing piece of the puzzle

• Successful completion and graduation from a Bachelor of Nursing program or equivalent.
• Minimum of 3-5 years disability claims experience / adjudication experience is preferred
• Preferred a College or University degree and / or certificate or continuing education courses towards FLHC, GBA, CDMP or similar industry designation.

A combination of relevant education and experience may be considered.

• In-depth Group benefit and product knowledge as well as knowledge of Third Party Administrator
• Knowledge of general medical terminology and provincial insurance laws is required
• Strong analytical and problem-solving skills, time management and decision-making abilities are required
• Strong planning and organizing skills, with attention to detail
• Ability to multitask in a fast paced and performance driven environment as well as to adapt quickly and comfortably to change
• Strong oral and written communication skills (bilingual English French would be a major asset) and interpersonal skills combined with professional telephone etiquette
• Aptitude to work in a consultative mode with corporate clients
• Demonstrated analytical and negotiating skills while managing difficult situations
• Excellent customer service and results oriented in high volume environment
• Strong team player with unquestionable integrity as well as capable of working independently
• Demonstrate a positive attitude and a desire to succeed
• Knowledge of unionized work place is an asset
• Maintaining and gathering of statistical data for client
• Familiarity with Windows environment (Word, Excel, Outlook); demonstrated ability to learn and work well with customized computer software
• Evidence of active participation in professional growth and development activities

Who is TELUS Health Care Centres?

We are a national network of renowned medical professionals dedicated to identifying health risks, inspiring positive lifestyle choices and improving patient outcomes.

We have one of the largest networks of Care Centres in Canada.

Our commitment : Better healthcare options for everyone. We are leveraging the power of technology to provide Canadians with better health outcomes.

Connecting health teams, streamlining workflows, and empowering patients to manage their health are just some of the ways our digital solutions promote collaboration and efficiency.

We are looking for enthusiastic, customer service minded individuals who want to work in a collaborative, friendly and supportive environment.

Join our team and help us shape the future of how Canadians engage with the healthcare ecosystem.

Accessibility

THCC is proud to foster an inclusive culture that embraces diversity. We are committed to fair employment practices and all qualified applicants will receive consideration for employment.

We offer accommodation for applicants with disabilities, as required, during the recruitment process. Please let the recruitment team know of any accommodation requirement at the beginning of the process.

Please note that we are exclusively recruiting people who can work legally in Canada.

By applying to this role, you understand and agree that your information will be shared with the TELUS Group of Companies’ Talent Acquisition team(s) and / or any leader(s) who will be part of the selection process.