Nurse Case Manager

2 weeks ago


Toronto ON MH M, Canada CloudMD Full time

Nurse Case Manager (Maternity Replacement)

Join Kii Health

Are you ready to take your healthcare career to the next level? At Kii Health (formerly CloudMD), we provide seamless and connected care across mental health, medical services, occupational health and safety, disability management, and workers' compensation. Our mission is simple: help every individual and organization get the right care, at the right time.

We are seeking a Nurse Case Manager (Maternity Replacement) who is passionate about supporting people through their healthcare journeys and helping employers, insurers, and partners achieve positive outcomes. In this role, you'll make a real difference by guiding employees through complex health and return-to-work processes.

About the Role

As a Nurse Case Manager, you will manage Short-Term Disability (STD) cases, accommodation cases, and complex medical cases. You will review medical information, coordinate care, and ensure treatment plans are medically appropriate, cost-effective, and aligned with client policies, all while supporting successful return-to-work outcomes.

Schedule:

  • Monday to Friday
  • 7.5-hour shifts

Responsibilities

  • Case Management: Review medical records, assess treatment duration, and ensure care meets employees' medical needs.
  • Communication: Serve as the main point of contact between employees and employers during absences; maintain accurate case notes and documentation in OHGMed.
  • Assessment & Recommendations: Recommend additional assessments as needed (e.g., Ergonomic, Independent Medical Evaluations, Fitness-to-Work).
  • Compliance: Ensure all work complies with PIPEDA, HIPAA, and relevant provincial legislation (WSIA in Ontario, WCB in Alberta, Workers' Compensation Act in BC).

Requirements

  • Registered Nurse (RN) or Registered Practical Nurse (RPN) licensed in Ontario, Alberta, or British Columbia
  • Minimum 5 years of experience in a disability management environment
  • Experience in claims adjudication
  • Strong background in psychiatric disability management
  • Excellent English communication skills, both written and verbal
  • Proficiency with computers and case management systems
  • Professionalism and confidence in a fast-paced environment

Preferred Qualifications:

  • Experience with Workers' Compensation (WSIB/WCB/ WorkSafeBC) in your province
  • Strong decision-making, critical thinking, and conflict resolution skills
  • Ability to manage time effectively and meet deadlines
  • Team player with initiative and sound judgment
  • Experience preparing and facilitating graduated return-to-work programs
  • Knowledge of relevant provincial legislation for your region

Why Kii Health

We are committed to equal opportunity and creating a culture of belonging. We welcome applications from all backgrounds and provide an accessible and inclusive work environment. If you require accommodations during the recruitment process, please contact

The safety of our employees, clients, and patients is a top priority. Final applicants will undergo a background check to ensure a safe and secure environment for everyone.


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