Disability Case Manager

Disability Case Manager

Requirements

• 2+ years of comprehensive experience in US Leaves and Disability Case Management and knowledge of the various legislative requirements
• Developed interpersonal and helping skills along with superior assessment and problem solving skills
• Excellent computer skills and the ability to work primarily online in a paperless environment
• Associate’s Degree
• A registered professional status within the disability management or professional health sector

Responsibilities

• Manage and process FMLA (and other Federal leaves as applicable) Military leaves, State leaves, company specific and STD claims.
• Conduct case assessments, contacting the employee and their manager / HR by telephone or email, to explain the leave management process, employee accountabilities, and gather information for assessment purposes.
• Develop and document an understanding of the situation and the factors supporting, as well as inhibiting, a successful return to work for the employee.
• Review all relevant information and consult with appropriate MSI resources as required (nurse consultants, health professionals, supervisory team) to confirm decision (approved / denied) recommendation on FMLA, State, Company specific leaves and STD cases.
• Analyzes FMLA medical certifications and other medical documentation and ensures claim determination adheres to the required regulatory compliance timeframes.
• Informs STD claimants of any documentation needed to process a claim, timeframe requirements, claim’s status (e.g. STD approvals, denials, and consults), or any other information necessary to manage a claim.
• Determine an appropriate RTW goal with the employee and the employer; as well as, provide active support for the return-to work planning process between the employee and their supervisor and intervene when necessary.
• Communicate proactively with the employer’s HR representative regarding any case management issues that may impact the workplace and RTW planning.
• Will follow all processes as laid out in the Standard Operating Procedures (SOPs), and/or as detailed in trainings/meetings.
• Attend Case Management and Disability Management department team meetings and trainings as required.
• Other projects and tasks as assigned.

Preferred Qualifications

• Additional course work in occupational health, rehabilitation, legislation related to disability management, helping relationship skills, mediation, human resource management, disability insurance, psychological and workplace factors in disability would be an asset
• Management of ADA / ADAAA claims, would be an asset
• Bilingual (English and Spanish) would be an asset