Nurse Consultant

A day in the life of a Bilingual Nurse Consultant While the WSIB's current work environment is hybrid, this role requires the successful applicant to commit to an in-office work arrangement up to 5 days a week beginning in 2026. 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. 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, health care providers and other WSIB staff to recognize and respond to complex needs, make and communicate timely, quality evidenced based/informed health care entitlement decisions. As interventionists, identify and mitigate obstacles to return to work and/ or recovery, resolving what is clearly 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 the 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 involvementMajor Duties & Responsibilities 1. Render entitlement/compatibility decisions related to health care and dental treatment based on legislation, policy, best practices and clinical judgement and communicate them, verbally and in writing. 2. Attempt to resolve objections to health care entitlement decisions made, manage reconsideration requests, and if unable to resolve the objection, arrange for access and process the objection. Implement health care components of appeals decisions within required timeframes.3. Conduct assessment and/or file reviews to support the functional recovery case plan, by facilitating and guiding appropriate recovery action(s), including treatment/assessment until resolution of recovery obstacle intervene when needed with health care providers to resolve concerns and to promote the 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 the health care community providers. 4. In specific cases, collaborate with the case owner, Return to Work Specialist, Manager, workplace parties and health care 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 an appropriate assessment (e.g., NCA, triage, focused, intake, discharge) to assist in mitigation strategies; identifying appropriate flags, barriers such as clinical, psycho-social and chronic pain issues likely to stall or delay RTW and/or recovery; Identifying and undertaking interventions and mitigating strategies to overcome recovery obstacles and assist in achieving optimal recovery and quality of life outcomes (note: the individual case characteristics and nature of the obstacles will determine the scope and duration of an intervention). 5. Educate and influence workers and external providers/partners regarding RTW best practices, health care guidelines, policies and processes, recommended treatment(s) for the type of injury/illness, and the value of RTW in the healing process to support the RTW and recovery and/or quality of life goals for the case by: Informing workers and employers of their rights and responsibilities under the relevant health care provisions of the Act; Providing appropriate education to prevent further recurrences or new injury in cases where the worker has had multiple similar injuries or recurrences. 6. Assess medical/clinical documentation for completeness, correctness and timeliness and take appropriate action with providers such as reducing