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Employee Health Management Specialist

1 month ago


Scarborough, Canada Scarborough Health Network Full time

Job Number: JR101156

Job Title: Employee Health Management Specialist

Job Category: Professional

Hospital Location: Centenary Site

**Job Type**: Permanent, Full time

Number of Positions: 1

Hours: Days

Across our three hospitals and eight satellite sites, Scarborough Health Network (SHN) is shaping the future of care. Our many programs and services are designed around the needs of one of Canada’s most vibrant and diverse communities. We are home to North America’s largest nephrology program, as well as the designated cardiac care and spine centre for Scarborough and surrounding communities to the east. We are proud to be a community-affiliated teaching site for the University of Toronto and partner with a number of other universities and colleges, helping to train the next generation of health care professionals. SHN is the recipient of the Excellence in Diversity and Inclusion Award, from the Canadian College of Health Leaders, for our work led by the Organizational Development and Diversity Department on our Leading edge Communities of Inclusion, Inclusion Calendar and our innovative Health Equity Certificate programs. We are also proud to be named Canada’s Most Admired Corporate Cultures for 2023 Learn more at

shn.ca

Job Description:
Position Overview:
Reporting to the Manager, Workplace Health and Safety (WHS) the Employee Health Management Specialist (EHMS) will support and facilitate the return to work of ill or injured employees to their highest level of function through collaboration with the WHS team, managers, union and external healthcare providers in compliance with legislation, hospital policy and cost avoidance (i.e. grievances, arbitration and hearings). The EHMS will employ the principles of disability management to actively manage the cases of all disabled employees to ensure they are provided with appropriate case management. You will also manage the reporting and monitoring of WSIB incident reports and claims for employees of Scarborough Health Network. Additionally, you will identify and assess any barriers to a successful and timely return-to-work, engage with stakeholders to implement strategies to address those identified barriers and support return to work (RTW) or an appropriate alternative plan.

**Responsibilities**:

- Actively manage employee absences from the workplace due to Occupational or Non-Occupational illness or injury, which includes adjudication of medical documentation to determine eligibility for sick leave benefits based on HOOPDIP criteria.
- Case file preparation and closure to ensure an accurate and confidential records system, which may include Short Term Disability (STD), Workplace Safety and Insurance Board (WSIB) or Long Term Disability (LTD) claims.
- Book and prepare activities for Independent Medical Evaluation (IME) and Functional Abilities Evaluation (FAE) assessments.
- Facilitate the Gradual Return to Work (GRTW) planning process and assisting with documentation and communication as required.
- Attendance Support meeting preparation, including case review preparation.
- Coordinate case conferences with physicians and third party providers.
- Follow-up with correspondence related to case management decisions/activities.
- Accommodation and LTD case review preparation and coordination.
- Analyze statistical data related to sick time utilization, Graduated Return to Work (GRTW) metrics and LTD utilization.

**Requirements**:

- Minimum five (5) years of Disability Case Management experience working with short-term disability and worker’s compensation claims.
- 2 to 3 years of worker’s compensation claims experience.
- 2 to 3 years of Return to Work planning and facilitation experience.
- Must have a Diploma or Certificate in Occupational Health/Disability completed or in progress (COHNC, CDMP, CDMS).
- Experience in disability management within a large, unionized, culturally diversified environment.
- Demonstrated experience in disability management for Short Term Disability (STD) and Long Term Disability (LTD) and experience liaising with LTD carriers.
- Knowledge of applicable legislation (i.e. Occupational Health & Safety Act, Workplace Safety and Insurance Act, Employment Standards, Human Rights).
- Strong medical terminology.
- WSIB appeals experience.
- Knowledge of new WSIB Framework.
- Demonstrated proficiency with Microsoft Outlook, Word, Excel, Access and PowerPoint and experience using Parklane Systems is an asset.
- Demonstrated strong planning, organizational, coordination skills and ability to manage multiple priorities under mínimal direction.
- Excellent interpersonal skills including a commitment to customer service when dealing with patients, colleagues and volunteers and other members of the community and public.
- Demonstrates values consistent with SHN’s Code of Conduct and is committed to fostering a healthy and positive work environment in accordance with Health & Safety policy and legislation.
- Demonstrates