Nurse Consultant - Personne Infirmière Consultante (Bilingual, Hybrid)

Workplace Safety and Insurance Board (WSIB); Greater Sudbury; Hybrid; CAD 97,000 - 115,000; Full time

Job summary

A leading insurance organization is seeking a Nurse Consultant to support case management through clinical assessments and recovery planning. This role involves collaborating with healthcare providers and addressing obstacles to return to work. Candidates must hold a degree in Nursing and have at least three years of clinical experience. The position offers competitive salary and benefits in a flexible work environment.

Benefits

Competitive salary

Comprehensive benefits package

Defined benefit pension plan

Qualifications

• Must be a Registered Nurse in good standing with the College of Nurses of Ontario.
• Three years of clinical experience in primary health care or similar environments.

Responsibilities

• Assess and review medical reports for risk mitigation.
• Develop recovery plans for injured people.
• Provide clinical advice and support for case management.

Skills

Clinical judgment

Communication

Assessment skills

Collaborative working

Education

Undergraduate degree in Nursing

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, along with a comprehensive benefit package and defined benefit pension plan.

This is a bilingual recruitment, requiring fluency in both French and English.

Salary Grade: 213 From: $97,184.05 To: $114,334.38

Job Summary

Nurse Consultants (NCs) play an important role in the case management team by assessing and reviewing medical reports to identify and mitigate risk factors that impact recovery and return to work (RTW).

Application of nursing knowledge, skill, and judgement when providing clinical advice, opinion, and guidance. Supporting the development of recovery plans for an Injured Person (IP) 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.

NCs interact, develop, and maintain collaborative working relationships with case managers, return to work specialists, workers, worker families, healthcare providers, and other WSIB staff to recognize and respond to complex needs, make and communicate timely, quality evidenced-based/informed healthcare entitlement decisions.

As interventionists, 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. NCs work collaboratively with case owners and Adjudicators to identify individual case characteristics. The scope and duration of the NC intervention are based on these joint discussions. The individual case characteristics and the nature of the obstacles will determine the scope and duration of NC involvement.

Major Duties & Responsibilities

• Render entitlement/compatibility decisions related to healthcare and dental treatment based on legislation, policy, best practices, and clinical judgement and communicate them verbally and in writing.
• Attempt to resolve objections to healthcare entitlement decisions made, manage reconsideration requests, and if unable to resolve the objection, arrange for access and process the objection. Implement healthcare components of appeals decisions within required timeframes.
• Conduct assessment and/or file reviews to support the functional recovery case plan, by facilitating and guiding appropriate recovery actions, including treatment/assessment until resolution of recovery obstacles. Intervene when needed with healthcare providers to resolve concerns and 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 healthcare providers.
• In specific cases, collaborate with the case owner, Return to Work Specialist, Manager, workplace parties, and healthcare providers on case plan activities and timelines by:
• Identifying cases at risk of prolonged recovery by assessing and developing a plan to address recovery obstacles;
• Performing appropriate assessments (e.g., NCA, triage, focused, intake, discharge) to assist in mitigation strategies; identifying appropriate flags, barriers such as clinical, psycho-social, and chronic pain issues likely to stall or delay RTW and/or recovery;
• Identifying and undertaking interventions and mitigation 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);
• Educate and influence workers and external providers/partners regarding RTW best practices, healthcare guidelines, policies, and processes, including recommended treatments for the injury/illness type, and the value of RTW in the healing process to support RTW, recovery, and/or quality of life goals for the case by:
• Informing workers and employers of their rights and responsibilities under the relevant healthcare provisions of the Act;
• Providing appropriate education to prevent further recurrences or new injuries in cases with multiple similar injuries or recurrences.

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.

Act as a clinical resource to internal staff by providing advice, opinions, and guidance about healthcare-related questions and the interpretation of medical/clinical findings related to treatment, recovery, and RTW.

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

Remain current in clinical education by participating in various clinical education sessions, including forums or other programs provided/arranged by WSIB regarding new guidelines, evidence-based practices, clinical processes, and provide feedback on trends impacting recovery and RTW, healthcare benefits.

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

Education

Job Requirements:

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

Experience

• Three years of clinical experience in primary health care, occupational health, adult acute/community care, or similar environments.

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.

We value and celebrate diversity and are committed to creating inclusive experiences for all employees and applicants. If accommodations are needed, please contact [e-mail]. During the interview or assessment process, inform the recruiter of your needs.

Learn more about our EDI initiatives and actions on our website.

Disclosing conflicts of interest

As public servants, WSIB employees must act ethically and maintain public trust. Applicants must disclose any circumstances that could result in a conflict of interest, including political activity, outside employment, or personal relationships with current employees or stakeholders. For questions, contact [e-mail].

Privacy information

We collect personal information under the authority of the Workplace Safety and Insurance Act, 1997, for recruitment purposes. For questions about data use, contact [e-mail]. A criminal records check is required before or after hiring.

To apply, submit your application by the closing date.