Mental Health Advisor

4 weeks ago

Régina SK, Canada 3shealth Full time

Mental Health Advisor, Employee Benefits
Job Type Permanent Full Time
50 hours per 1 week rotation
The Employee Benefits team, in collaboration with health-system partners, has re-designed the disability claims management model. The new model reframes claims management from adjudication to an active case management approach. This change positions the Claims Services area to provide improved service and collaborative support with plan members on their path to health.
We are seeking a Mental Health Advisor to partner with Claims Adjudicators in building a holistic rehabilitation strategy for plan members on a disability claim where mental health or addiction issues present as the primary medical condition or as secondary/complicating factor. As a subject matter expert in mental health and as a member of the Claims Services team, the Advisor will play an integral role in the case management process by:
Analyzing plan member files, including medical reports to support claims decision-making, determining the level of functionality and developing results focused, cost effective individualized rehabilitation plans to address claimant needs and facilitate early and sustainable return to work;
Developing, implementing, and monitoring the progress of rehabilitation plans;
Working with external providers and consultants to execute the rehabilitation plan, negotiating terms and conditions, and overseeing their work and ensuring adherence to established standards of quality;
Addressing expectations of all stakeholders through regular, active contact and continuous relationship building activities;
Consulting regularly with the adjudicator to facilitate the smooth flow of information, and collaborate on required changes to the case management plan;
Providing training, coaching, and mentoring to claims adjudicators to effectively manage complex mental health claims.
Bachelor's Degree in a health related discipline (e.g., social sciences, social work, psychology, counseling psychology, psychiatric nursing).

Demonstrated consulting, coaching, and facilitation skills;
Excellent customer service skills, including empathy and concern for plan members and the ability to handle escalated issues in a timely and successful manner;
High level of self-motivation with a customer service focus;
Knowledge of the Mental Health Services Act and the provision of Mental Health Services in Saskatchewan;
Medical knowledge, as well as demonstrated knowledge in aspects of human behaviour, counseling, interviewing, referral procedures, and community resources;
Knowledge of lean processes would be considered an asset.
Two to four years' experience in the clinical field of mental health, with an in-depth understanding of mental health issues, addictions and or/trauma.
Experience in, or knowledge of, disability case management is an asset.

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