Appeal Case Manager, Quality Assurance and Continuous Improvement

at  LifeWorks

Toronto, ON, Canada -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate09 Oct, 2024Not Specified09 Jul, 2024N/AGood communication skillsNoNo
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Description:

TELUS Health is empowering every person to live their healthiest life. Guided by our vision, we are leveraging the power of our leading edge technology and focusing on the uniqueness of each individual to create the future of health. As a global-leading health and well-being provider – encompassing physical, mental and financial health – TELUS Health is improving health outcomes for consumers, patients, healthcare professionals, employers and employees.
Are you passionate about making a difference in the lives of others? Do you thrive in a dynamic, fast-paced environment? Join our team and be a part of something bigger!
About the Role:
As an Appeal Case Manager reporting to the Manager of Quality Assurance and Continuous Improvement (QACI), you will play a pivotal role in ensuring top-notch service delivery and continuous improvement within our Absence and Disability Management (ADM) vision. Your mission? To deliver best-in-class service that enhances both client and employee experiences during the appeal process.

What You’ll Do:

  • Be the Communication Champion: Engage proactively with employees, employers, and workplace representatives. Set clear expectations for appeals, return-to-work plans, and next steps, all while meticulously documenting every interaction.
  • Drive Early Interventions: Advocate for early return-to-work and provide active support in the planning process. You’ll be the bridge between employees and their supervisors, ensuring smooth transitions.
  • Collaborate for Success: Work hand-in-hand with QACI Advisors and Service Delivery Coordinator teams to ensure all case information is accurately documented and shared within agreed timelines, adhering to privacy guidelines.
  • Adapt and Excel: Navigate the complexities of working with multiple unions, client representatives, and external parties, all while maintaining client-specific processes.

What We’re Looking For:

  • Experience: 1-2 years in Disability Case Management.
  • Knowledge: Familiarity with medical terminology and disability management.
  • Language Skills: Bilingualism (French/English) is a plus.
  • Organizational Prowess: Superior time management and organizational skills.
  • Communication Skills: Excellent written and oral communication abilities, with a knack for handling difficult conversations with empathy and sensitivity.
  • Detail-Oriented: A keen eye for detail and the ability to work independently in a fast-paced environment.
  • Problem-Solving: Outstanding problem-solving skills and critical thinking abilities to navigate complex situations.
  • Tech-Savvy: Proficiency in MS Office.

Why Join Us?
At TELUS Health, we believe in fostering a culture of continuous improvement and excellence. As an Appeal Case Manager, you’ll be a credible role model, setting the standard for quality and seamless case management. If you’re a self-starter who loves to communicate complex processes and recommendations, this is the perfect role for you!
Ready to Make an Impact?
Apply now and be a part of a team that values innovation, collaboration, and a commitment to excellence. Together, we can make a difference!

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A bit about us
We’re a people-focused, customer-first, purpose-driven team who works together every day to innovate and do good. We improve lives through our technology solutions and foster a culture of innovation that empowers team members to solve complex problems and create remarkable human outcomes in a digital world.
TELUS is proud to foster an inclusive culture that embraces diversity. We are committed to fair employment practices and all qualified applicants will receive consideration for employment. We offer accommodation for applicants with disabilities, as required, during the recruitment process.
Disclaimer: In accordance with the TELUS Health Solutions Data Center Security Policy, as a condition of employment, all team members whose job functions require they work at a Data Center and/or have access to detailed knowledge of technology related to client service delivery, are subject to a Personnel Security Screening conducted through the Government of Canada.
The health and safety of our team, customers and communities is paramount to TELUS. Accordingly, we require anyone joining our TELUS Health Care Centres to be fully vaccinated for COVID-19.
Note for Quebec candidates: if knowledge of English is required for this position, it is because the team member will be asked, on a regular basis, to interact in English with external or internal parties or to use English applications or software as part of their tasks.
By applying to this role, you understand and agree that your information will be shared with the TELUS Group of Companies’ Talent Acquisition team(s) and/or any leader(s) who will be part of the selection process

Responsibilities:

  • Be the Communication Champion: Engage proactively with employees, employers, and workplace representatives. Set clear expectations for appeals, return-to-work plans, and next steps, all while meticulously documenting every interaction.
  • Drive Early Interventions: Advocate for early return-to-work and provide active support in the planning process. You’ll be the bridge between employees and their supervisors, ensuring smooth transitions.
  • Collaborate for Success: Work hand-in-hand with QACI Advisors and Service Delivery Coordinator teams to ensure all case information is accurately documented and shared within agreed timelines, adhering to privacy guidelines.
  • Adapt and Excel: Navigate the complexities of working with multiple unions, client representatives, and external parties, all while maintaining client-specific processes


REQUIREMENT SUMMARY

Min:N/AMax:5.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

Software Testing

Graduate

Proficient

1

Toronto, ON, Canada