Nurse Consultant (HYBRID)

EMPLOYER: Workplace Safety and Insurance Board

JOB DESCRIPTION:

Our people have different ways of working and lifestyles. We’re committed to a mix of working in the office, in the field and from home. You have some flexibility in terms of where and how work gets done to help you balance your personal life and career goals.

About the Workplace Safety and Insurance Board (WSIB)

We’re here to help. When an injury or illness happens on the job, we move quickly to provide wage-loss benefits, medical coverage and support to help people get back to work. Funded by businesses, we also provide no-fault collective liability insurance and access to industry-specific health and safety information. We are one of the largest insurance organizations in North America covering over five million people in more than 300,000 workplaces across Ontario. For more information, visit wsib.ca .

At the WSIB, you’ll have the opportunity to:

• explore many career paths and follow your passion
• continuously learn and grow professionally
• be recognized for the great work you do
• participate in programs that support your health and wellbeing

You’ll also receive a competitive salary and may be eligible to participate in our health and dental plan.

We are recruiting for current and future temporary (up to 18 months) and permanent vacancies 

Salary From:$94,583.02 

Job Summary: 

Nurse consultants participate in the WSIB structured case management framework by:

Interacting, developing and maintaining collaborative working relationships with case managers, return to work specialists, workers, worker families, health care providers and other WSIB staff to recognize and respond to complex needs, make and communicate timely, quality evidenced based/informed health care entitlement decisions.

Apply nursing knowledge, skill and judgement when providing clinical advice, opinion and guidance on the trajectory of a worker’s recovery plans and/or interpret medical/clinical findings as needed to ensure case progression towards achieving the best possible return to work, recovery, and/or quality of life outcomes throughout the case life cycle.

Undertaking interventions to identify and mitigate obstacles to return to work and/ or recovery, resolving what is clearly of a medical/clinical nature and addressing non-medical issues appropriately, to prevent cases from becoming chronic. The individual case characteristics and nature of the obstacles will determine the scope and duration of an intervention.

Major Duties & Responsibilities

1. Render health care and dental entitlement/compatibility decisions based on legislation, policy, best practices and clinical judgement and communicate them, verbally and in writing.

2. Attempt to resolve objections to health care entitlement decisions made, manage reconsideration requests, and if unable to resolve the objection, arrange for access and process the objection. Implement health care components of appeals decisions within required timeframes.

3. Identify treatment(s) to support the case plan and intervene when needed with health care providers to resolve concerns and to promote the integration of the worker’s treatment and recovery into the RTW process by:

• Conducting medication reviews to identify, address, and/or communicate potential issues that may affect RTW, and/or the health and quality of life of a worker;
• Facilitating access to care and clinic referrals; providing information and support to the health care community;
• Encouraging discussion between providers and WSIB physicians.
• Case conference with discipline specific PPLs and or Staff Physicians

4. In specific cases, collaborate with the Case Manager Return to Work Specialists, workplace parties and health care providers on case plan activities and timelines by:

• Performing an appropriate assessment (e.g. triage, focused, intake, discharge) to assist in identifying appropriate queues, barriers such as clinical, psycho-social and chronic pain issues likely to stall or delay RTW and/or recovery;
• Identifying and undertaking interventions and mitigating strategies to overcome recovery obstacles and assist in achieving optimal recovery and quality of life outcomes (note: the individual case characteristics and nature of the obstacles will determine the scope and duration of an intervention).

5. Educate and influence workers and external providers/partners regarding RTW best practices, health care guidelines, policies and processes, recommended treatment(s) for the type of injury/illness, and the value of RTW in the healing process to support the RTW and recovery and/or quality of life goals for the case by:

• Informing workers and employers of their rights and responsibilities under the relevant health care provisions of the Act;
• Providing appropriate education to prevent further recurrences or new injury in cases where the worker has had multiple similar injuries or recurrences.

6. Assess medical/clinical documentation for completeness, correctness and timeliness and take appropriate action with providers such as reducing payment for late billing. This may include referral to and/or working collaboratively with Health Services and/or Regulatory Services Division for appropriate action.

7. Act as a clinical resource to internal staff by providing advice, opinions, and guidance about health care related questions and the interpretation of medical/clinical findings related to the treatment or recovery of a worker.

8. Provide immediate, short-term crisis intervention services for workers and/or workers’ families who are at risk of self-harm and/or harm to others.

9. Remain current in their clinical education by participating in various clinical education sessions including clinical forums or other programs as provided/arranged by the WSIB regarding relevant new guidelines, evidence based practice, clinical practice/processes and provide feedback on current trends which impact duration or recovery and RTW, health care benefits.

10. Perform other related duties as required or assigned including participation in business, team, or project activities.

Job Requirements: 

Education:

• University completion at undergraduate level with a specialty focus in Nursing or, prior to 2005, a diploma or bachelor's degree in Nursing as recognized by the College of Nurses of Ontario. A certificate of registration as a Registered Nurse as a member in good standing with the College of Nurses of Ontario in the General Class.

Experience:

• Three years prior experience in clinical environment (i.e. primary health care, occupational health, adult acute/community care).

Our commitment to equity, diversity and inclusion

We respect and value the diversity of our people. We strive to create an environment where employees can be themselves and where our differences are celebrated.

The WSIB is committed to being accessible and inclusive, and following barrier-free and accessible employment practices in compliance with the Accessibility for Ontarians with Disabilities Act (AODA). Should you require accommodation through any stage of the recruitment process, please let us know when we contact you and we will work with you to meet your needs.

Disclosing conflicts of interest

As public servants, employees at the WSIB have a responsibility to act in an ethical way at all times to create a respectful workplace and maintain public trust. Job applicants are required to disclose any circumstance that could result in a real, potential or perceived conflict of interest. A conflict of interest is any situation where your private interests may impair or be perceived to impair the decisions you make in your official capacity. This may include: political activity, directorship, other outside employment and certain personal relationships (e.g. with current WSIB employees, customers and/or stakeholders). If you have any questions about conflict of interest obligations and/or how to make a disclosure, please contact the Talent Acquisition Centre at talentacquisitioncentre@wsib.on.ca.

Privacy information

We collect personal information from your resume, application, cover letter and references under the authority of the Workplace Safety and Insurance Act, 1997. The Talent Acquisition Centre and WSIB hiring parties will used this information to assess/validate your qualifications, determine if you meet the requirements of vacant positions and/or gather information relevant for recruitment purposes. If you have questions or concerns regarding the collection and use of your personal information, please contact the WSIB’s Privacy Office at privacy_office@wsib.on.ca. The Privacy Office cannot provide information about the status of your application.

As a precondition of employment, the WSIB requires that prospective candidates undergo a criminal records name check any time before or after they are hired.

To apply for this position, please submit your application by the closing date July 17, 2024 at 11:59 PM through our website: https://www.wsib.ca/en/careers .

START DATE: 08/09/2024

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