Disability Case Manager

Trillium Health Partners (THP) is one of the largest community-based acute care facilities in Canada. THP is comprised of the Credit Valley Hospital, the Mississauga Hospital, the Queensway Health Centre, and offsite locations. THP serves the growing and diverse populations of Mississauga, West Toronto and surrounding communities, and is a teaching hospital affiliated with the University of Toronto.

Insight Health Solutions (IHS) is part of THP and is a leader in disability management services, mental health programming, occupational medicine as well as third party clinical assessments and rehabilitation for employers and insurers across Ontario as well as for national organizations.

Our Mission: With our values of compassion, excellence and courage, we improve care, elevate health, and help communities thrive

Our Values: Compassion, Excellence, Courage

Our Goals: Population health, Health Equity, Patient and Caregiver Experience, Team Experience, Value

Our Priorities: Deliver the highest quality care, Partner for a seamless health system, Shape a healthier community for all, Inspire and invest in a diverse Team THP

Position Summary:

Reporting to the manager of IHS Wellness, the Disability Case Manager (DCM) is responsible for the proactive and expert management of short-term disability (STD), Workplace Safety and Insurance Board (WSIB) claims as well as bridging long-term disability (LTD) files from STD. The DCM collaborates with managers and other key partners in planning and supporting return-to-work.

As a member of a dynamic interdisciplinary team of professionals, your expertise in this field will enable you to act as an important contributor to discussions regarding workplace disability-related issues.

Short Term Disability Case Manager Responsibilities:

• Delivery of Short-Term Disability (STD) Case Management Services.
• Manage non-occupational absences >15 days and WSIB claims from day one.
• Determine benefit eligibility and request medical documentation.
• Lead return-to-work planning and accommodation processes.
• Develop effective and sustainable return to work plans.
• In collaboration with the client’s managers and human resources business partners, regularly monitor and adjust the progress of all return-to-work cases to resolve emerging issues.
• Attend bi-weekly meetings and support legal proceedings.
• Contact clients in a timely manner upon receiving a referral.
• Contact the injured/absent employee shortly in a timely manner and on a regular basis.
• Provide a decision on claim status in a timely manner aligned with contractual service level agreements.
• Notify the customer/employer of legal claims.
• Provide support to employee’s manager/supervisor and client’s Human Resources (HR) team regarding case management, disability and accommodation.
• Diplomatically resolve conflict in an effective and collaborative manner.
• Interpret and educate the client’s managers on a variety of regulatory and compliance requirements to ensure that case management practices are applied in accordance with legislation, regulation and clients’ policies.
• Make referrals to appropriate resources such as EFAP provider, the client’s Occupational Health Physician, or Ergonomic Consultant, as required.
• Collaborate and liaise with other members of WSIB, LTD carriers and the client’s Health & Safety team.
• Act as liaison, mentor and coach regarding disability claims to both internal and external Partners.
• Maintain and respect confidential information, objectively and accurately document case history, strategy and case management plan.
• Accountable for regularly collecting maintaining and reporting statistics regarding for STD and LTD, proactively identify trends.

Credentials and Professional Training:

• Regulated health professional preferred but is not mandatory
• Experience in: Occupational health case management, Short-term disability claims management, WSIB and Human Rights proceedings, Return-to-work planning, Collaboration with legal and HR teams

Key Qualifications:

• Certified Disability Management Professional or Certified Return to Work Coordinator credential is preferred but not mandatory.
• Minimum of 2 years of experience in disability case management.
• Demonstrated expertise and experience with return-to-work planning, long term disability contracts, collective agreements, and attendance and accommodation programs in a large and diverse organizational environment.
• Working knowledge of relevant legislation (e.g., Ontario Human Rights Code, Occupational Health and Safety Act).
• Knowledge of the Workplace Safety and Insurance Act is an asset.
• Excellent interpersonal skills are required.
• Excellent communication, organization, and presentation skills.
• Excellent computer skills (Word, Excel, HRIS); able to create and generate reports as required.
• Superior assessment and problem-solving skills.

Location:

The Disability Case Manager will be working at 2381 Bristol Circle, Oakville or at the West Toronto location at 150 Sherway Drive as directed by THP at its sole discretion although there may be some opportunity for flexible work environments.

Candidates are selected on the basis of their skill, ability, experience and qualifications. Where these factors are relatively equal seniority shall govern providing the successful applicant.

Trillium Health Partners (THP) is an equal opportunity employer who values the importance of antiracism work and is committed to integrating antiracism, diversity, equity and inclusion best practices throughout THP operations, policies and culture. Therefore, we ask that even if you do not see yourself fully reflected in every job requirement listed on this posting, we still encourage you to reach out and apply. Research has shown that candidates from underrepresented groups often only apply when they feel 100% qualified. We encourage all applicants who are members of groups that have been marginalized on any grounds enumerated under the Ontario Human Rights Code based on race, gender identity or expression, sex, sexual orientation, disability, political belief, religion, marital or family status, age, and/or status as a First Nations, Métis or Inuk/Inuit person to consider this opportunity. In accordance with the Accessibility for Ontarians with Disabilities Act, 2005 and the Ontario Human Rights Code, Trillium Health Partners will provide accommodations throughout the recruitment and selection process to applicants with disabilities. If selected to participate in the recruitment and selection process, please inform Human Resources of the nature of any accommodation(s) that you may require in respect of any materials or processes used to ensure your equal participation.

All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act. Trillium Health Partners is identified under the French Language Services Act. We thank all those who apply but only those selected for further consideration will be contacted.