Case Manager

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Job Title:

Case Manager Job Type:Permanent / Full time

Job Location:

Edmonton, Alberta Case Manager Client Services Edmonton & Calgary, AB Permanent, Full Time Start every day feeling good about the work you do. If you value service, care, excellence, trust and fairness, you’ll fit right in. Embrace a rewarding role with diverse and challenging work to make a difference that creates a safer, healthier and stronger Alberta by putting people first.

How you’ll make a difference:

You’ll build collaborative relationships with injured workers, their employers, medical service providers and others to develop individualized recovery plans. You’ll play a pivotal role in facilitating medical and re-employment services for clients, working to get them back to work and their lives. You’ll use your strong problem-solving and critical thinking skills to create effective plans that support safe recovery and return to work.

With people at the heart of everything we do, you’ll deliver high-level customer service and act as an educator and negotiator while managing client expectations.

Your responsibilities:

Manage a caseload of complex disability claims involving injured workers, employers, health care providers and representatives within strict timelines and a high-volume environment.

Review medical information, workplace details, legislation and policy to determine whether injuries meet the criteria for a compensable workplace claim.

Assess and make entitlement decisions for wage replacement benefits and communicate difficult decisions including denial, conclusion or adjustment of benefits clearly, respectfully and professionally, even when clients may be distressed, upset or disagree with the outcome.

Interpret medical reports, coordinate or authorize medical treatment and ensure timely, appropriate medical interventions.

Evaluate functional abilities and return-to-work readiness, develop detailed plans and facilitate re-employment services that support a safe and sustainable return to suitable work.

Apply structured critical thinking and advanced problem solving to analyze information, identify gaps and make defensible, evidence-based decisions aligned with the Workers’ Compensation Act and policies.

Navigate conflict and lead challenging conversations using de-escalation, empathy and conflict resolution skills to maintain productive relationships across various communication channels (e.g., phone, written correspondence, conference calls and in-person meetings).Deliver high-level customer service and act as an educator and negotiator when managing client expectations.

Uphold the values, principles and regulations of the Workers’ Compensation Act.

Your experience and skills:

A degree or diploma in Social Sciences, Kinesiology, Rehabilitation or Disability Management. Related education in Social Work, Psychology, Human Services, Commerce or an equivalent combination of related education and relevant experience may be considered. Additional coursework or certifications in disability management or related fields is an asset.

Minimum of 3 years of experience in disability management, occupational health, vocational or medical rehabilitation, including handling complex disability claims, assessing medical documentation, determining entitlement to benefits, and developing and implementing return-to-work plans.

Proven experience managing a high caseload of complex cases involving multi-party coordination, conflict resolution, critical thinking and the application of legislation and policy to make evidence-based…