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Case Manager

2 weeks ago

Winnipeg, Canada Manitoba Public Insurance Full time

Overview:
As the Case Manager, you will manage low to moderately complex off-work injury claims while acquiring the skills and abilities required to manage increasingly complex rehabilitation and return-to-work plans. In the role, you will investigate and evaluate claims situations, develop comprehensive rehabilitation plans, promote quality and cost-effective interventions and outcomes, proactively manage claims, and develop an understanding of recovery guidelines and overall ability to provide outstanding customer service.

En tant que gestionnaire de cas, vous gérerez des demandes d’indemnisation pour accidents du travail de complexité faible à moyenne, tout en acquérant les compétences et les capacités requises pour gérer des plans de réadaptation et de retour au travail de plus en plus complexes. Dans le cadre de vos fonctions, vous enquêterez et évaluerez les situations de demandes d’indemnisation, élaborerez des plans de réadaptation complets, favoriserez des interventions et des résultats de qualité et rentables, gérerez de façon proactive les demandes d’indemnisation et développerez une compréhension des lignes directrices de recouvrement et de la capacité globale d’offrir un service à la clientèle exceptionnel.

**Responsibilities**:

- Maintain contact with claimants, meeting them at their home, in the hospital, or at their workplace.
- Assess claimants’ situations and conduct cost-benefit analysis to develop plans that balance the claimant’s and organizational needs.
- Facilitate workplace assessments and accommodations.
- Gather and assess medical information to determine entitlements.
- Work collaboratively with Health Care Services and seek professional advice when necessary.
- Work collaboratively with claimant’s rehabilitation team, seek support or assistance from more senior case managers and facilitate medical consultations as required.
- Develop knowledge of community resources and expertise in building relationships with community partners.
- Maintenir le contact avec les demandeurs, les rencontrer à leur domicile, à l’hôpital ou à leur lieu de travail.
- Évaluer la situation des demandeurs et effectuer une analyse coûts-avantages afin d’élaborer des plans qui concilient les besoins du demandeur et ceux de l’organisation.
- Faciliter les évaluations et les mesures d’adaptation en milieu de travail.
- Recueillir et évaluer les renseignements médicaux pour déterminer les droits.
- Travailler en collaboration avec les Services de soins de santé et obtenir des conseils professionnels au besoin.
- Travailler en collaboration avec l’équipe de réadaptation du demandeur, solliciter le soutien ou l’aide de d’autres gestionnaires principaux de cas et faciliter les consultations médicales au besoin.
- Développer des connaissances sur les ressources communautaires et l’expertise pour établir des relations avec les partenaires communautaires.

Qualifications:

- Degree in Psychology, Social Work, Medical Rehabilitation (Kinesiology or Athletic, Occupational, or Physical Therapy) or a related discipline.

OR
- Degree in Business, Arts or related discipline.
- Certificate in Rehabilitation Case Management, Rehabilitation Benefit Administration, Disability Management Practitioner, or related case management discipline.
- Three years of case management experience, including one year experience in customer service in insurance.

As well as:

- Ability to identify, analyze, research, recommend, and implement effective solutions to a variety of situations.
- Ability to work effectively as part of a team.
- Ability to communicate effectively, orally and in writing, to clearly convey complex information in a concise and straightforward manner.
- Ability to work with a high levels of initiative.
- Intermediate 2 oral French Language skills are required.
- Diplôme en psychologie, en travail social ou en réadaptation médicale (kinésiologie, ergothérapie, physiothérapie ou thérapie du sport) ou dans une discipline connexe.

OU
- Diplôme en affaires, en arts ou dans une discipline connexe.
- Certificat de gestion de cas de réadaptation, d’administration des prestations de réadaptation, de praticien en gestion du handicap ou de discipline connexe en gestion de cas.
- Trois ans d’expérience en gestion de cas, dont un an d’expérience en service à la clientèle en assurance.

Qualifications additionnelles:

- Capacité à identifier, analyser, rechercher, recommander et à mettre en œuvre des solutions efficaces dans diverses situations.
- Capacité à travailler efficacement en équipe.
- Capacité à communiquer efficacement, oralement et par écrit, pour transmettre clairement des renseignements complexes de manière concise et directe.
- Capacité à travailler avec un haut niveau d’initiative.
- Compétences de niveau intermédiaire 2 en français oral.

Employee Benefits:
**Health benefits**

We offer a comprehensive healt