City : Burnaby

Category : Disability & Life Insurance

Industry : Insurance

Employer : Pacific Blue Cross

Pacific Blue Cross has been British Columbia's leading benefits provider for 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. Together with our subsidiary BC Life, we provide health, dental, life, disability and travel coverage for approximately 1.5 million British Columbians through employee group plans and through individual plans for those who do not have coverage with their employers.

We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our Community Connection Health Foundation, we also provide funding to community organizations with a focus on alleviating mental illness and chronic disease. We're interested in finding people who want to make a difference and who will take advantage of every opportunity to build a career with us.

Pacific Blue Cross offers an attractive compensation and benefits package, fitness programs, and an onsite gym and cafeteria. Our workplace culture values health and wellness, continuing education, environmental sustainability and giving back to the community.

If you are committed to improving the health and well-being of British Columbians, we are currently recruiting for a Vocational Rehabilitation Specialist to join our Work & Wellness claims team! This is a permanent role and will include working from office as well as home (hybrid).

Job Summary

Under the broad managerial direction of the Manager and as a subject matter expert in rehabilitation best practices, provides professional rehabilitation services to assigned client groups or to individual disability claimants by assessing the potential for early intervention involving a wide range of vocational strategies. Develops, implements and monitors the progress of rehabilitation plans, and addresses expectations of all stakeholders through regular, active contact and continuous relationship building activities. Provides technical advice and expert opinions to Work & Wellness managers and staff on vocational rehabilitation strategies best suited to individual cases.

Job Duties:

Work & Wellness Disability Claims Vocational Assessment, Rehabilitation, Intervention and Case Management

• As a subject matter expert in rehabilitation best practices, and as a member of the case management team, provides professional rehabilitation services to assigned client groups or to individual disability claimants referred by internal team members or through other avenues such as round table or focused file reviews by:

• assessing the potential for early intervention involving a wide range of rehabilitation and return to work strategies such as graduated return to work, psychological counselling, physiotherapy, mental health activation or pain management through file review, phone and onsite interviews with claimants, policy holders, employers, unions and health care providers using professional and motivational interviewing techniques;

• analyzing technical materials including medical and other reports, determining level of functionality and developing results focused, cost effective individualized rehabilitation plans to address claimant needs and facilitate early and sustainable return to work outcomes;

• sourcing and selecting external providers and associated clinical specialists to execute individual components of the rehabilitation plan, negotiating terms and conditions, overseeing their work and ensuring adherence to established standards of quality, professional practice and provider contract provisions;

• implementing the rehabilitation plan, monitoring and documenting its progress, resolving barriers that arise throughout the plan’s execution, initiating solution focused interventions and addressing expectations of all stakeholders through regular, active contact and continuous relationship building activities;

• collaborating with clinical specialist to maintain current information on claimant status while partnering with the claimant’s healthcare providers to facilitate recovery and return to work;

• within approved limits, monitoring rehabilitation-related expenditures to ensure fees incurred are consistent with the approved rehabilitation budget;

• consulting regularly with the assigned Case Management Staff to facilitate the smooth flow of information, provide updates on progress, and collaborate on required changes to the case management plan; communicates related concerns on benefit entitlement;
• completing regular documentation of rehabilitation activities and outcomes in accordance with internal documentation standards.

Department Effectiveness and Team Support

• Provides technical advice and expert opinions to Work & Wellness managers and staff on vocational rehabilitation strategies best suited to individual cases where those cases are not part of the Specialist’s assigned case load. Acts as a resource in the sourcing of current reference information consistent with Work & Wellness philosophy on vocational rehabilitation strategies and goals. Provides subject matter expertise on a variety of quality assurance and other reports at management and/or assigned client request to identify existing or emerging trends in the provision of rehabilitation services.

• Provides subject matter expertise to Work & Wellness and other areas within PBC and maintains up to date knowledge of vocational rehabilitation management and early intervention best practices, policies and procedures through regular review of professional and clinical literature, consultation with external industry contacts, and continuous learning initiatives such as presentations, conferences and workshops.

• Participates in special projects as an active team member as assigned.

• Performs other assigned duties related to disability claims, case management and vocational rehabilitation services which do not affect the rating of the job.

Qualifications:

• Bachelor’s Degree in Kinesiology, Occupational Therapy, Rehabilitation Counselling, Occupational Health, Psychology, Physiotherapy or related program

• A minimum of 5 years previous related experience in a vocational rehabilitation setting with significant exposure to workplace health and wellness, and/or disability management programs, including a minimum of two years working directly with persons with disabilities

• Membership with the Vocational Rehabilitation Association of Canada (VRA) (or equivalent) and working towards or has met the requirements for the Registered Rehabilitation Professional (RRP) designation (or equivalent)

We strive to create a workplace where everyone feels valued and employees feel empowered to freely participate and contribute regardless of race, ethnicity, gender, sexual orientation, religion, ability, education level, parental status, or socioeconomic status. PBC is an equal opportunity employer and welcomes applications from all qualified candidates.

To request an accommodation in completing this application, pre-employment testing, interviewing or otherwise participating in the employee selection process, please direct your inquiries to careers@pac.bluecross.ca