Nurse Consultant - Personne Infirmière Consultante (Bilingual, Hybrid) - Bilingual

Workplace Safety and Insurance Board (WSIB); Sault Ste. Marie; On-site; CAD 97,000 - 115,000; Full time

Job summary

A government organization for workplace safety in Sault Ste. Marie is seeking a Nurse Consultant to assess and manage medical cases for injured workers. This role requires fluency in French and English, along with significant clinical experience. Successful candidates will receive a competitive salary and comprehensive benefits as they support recovery and return to work processes.

Benefits

Comprehensive benefit package

Defined benefit pension plan

Health and wellbeing programs

Qualifications

• Must have at least three years of clinical experience in primary health care, occupational health, or adult acute/community care.
• University completion at undergraduate level with a specialty focus in Nursing.

Responsibilities

• Assess and review medical reports to support recovery plans.
• Develop and maintain collaborative relationships with case managers and healthcare providers.

Skills

Fluency in French

Clinical assessment

Risk management

Education

Registered Nurse with college registration

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 issues 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 NC intervention are based on these joint discussions. The individual case characteristics and 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 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 clinical, psycho-social, and chronic pain issues likely to delay RTW or recovery;
• Identifying and undertaking interventions and mitigation strategies to overcome recovery obstacles and assist in achieving optimal recovery and quality of life outcomes.

Educate and influence workers and external providers/partners regarding RTW best practices, healthcare guidelines, policies, and processes, including treatment recommendations for the injury/illness type, and the value of RTW in the healing process to support RTW, recovery, and quality of life goals. This includes:

• Informing workers and employers of their rights and responsibilities under the relevant healthcare provisions of the Act;
• Providing education to prevent further recurrences or new injuries, especially for workers with multiple injuries or recurrences.

Assess medical/clinical documentation for completeness, correctness, and timeliness, and take appropriate actions such as reducing payment for late billing. This may include referrals or collaboration with Health Services and/or Regulatory Services Division.

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

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

Remain current in clinical education by participating in relevant sessions, forums, or programs provided by WSIB, and provide feedback on trends impacting recovery, RTW, and healthcare benefits.

Perform other related duties as required, 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 valid registration as a Registered Nurse with the College of Nurses of Ontario in the General Class.

Experience

• At least three years of clinical experience in primary health care, occupational health, or adult acute/community care.

Our commitment to equity, diversity and inclusion

We respect and value diversity. We aim to create an environment where employees can be themselves and where differences are celebrated. We invite all interested individuals to apply. If you require accommodations, contact [e-mail]. During the interview or assessment, inform our Recruiter of your accommodation needs.

Visit our EDI Vision to learn more about WSIB’s actions to promote equity, diversity, and inclusion, and to support employees in reaching their full potential.

Disclosing conflicts of interest

Employees must act ethically to maintain trust. Disclose any circumstances that could be perceived as conflicts of interest, such as political activity, outside employment, or personal relationships with current employees or stakeholders. Contact [e-mail] for questions.

Privacy information

We collect personal information under the authority of the Workplace Safety and Insurance Act, 1997, for recruitment and qualification assessment. If you have concerns, contact [e-mail]. A criminal records check is required before or after employment.

Application instructions

To apply, submit your application by the closing date.