Nursing Specialist Group Benefits

Winnipeg, MB, Canada

Job Description


:
We are looking for a permanent part-time (3 days per week) Nursing Specialist to join our Medical and Dental Claims Management team which is part of our larger Group Customer Member Health and Ability organization. Our current work environment supports a Hybrid-Flex work arrangement that includes some rotational in-office & work from home capability.


ROLE DESCRIPTION



The Nursing Specialist will provide guidance and instruction to various stakeholders within Group Customer related to nursing policies, procedures, and practices. The individual will support assessment of home nursing claims.


STATUS:
Permanent part-time (3 days per week)


WHAT YOU WILL DO


  • Review and respond to plan member requests for In-Home Nursing Coverage
  • Determine coverage based on contract provisions
  • Answer general questions regarding the nursing coverage application process
  • Provide medical consulting to the Medical and Dental Claims Management team
  • Support the Drug Claims Management team with Prior Authorization drug applications
  • Support on project work and policy development as needed



WHAT YOU WILL BRING


  • Must be a Registered Nurse, with a minimum of two years\xe2\x80\x99 recent case management experience in a business setting, home care nursing, in a hospital environment or a provincial home care program.
  • Previous exposure to working in a business environment is an asset
  • Current registration with your provincial Nursing Association
  • Experience in palliative care, critical care and pediatric care in a home-nursing environment is an asset
  • Strong analytical and organizational skills
  • Excellent written and verbal communication skills
  • Ability to work independently
  • Experience using Microsoft Office programs such as Outlook, Work and Excel is required
  • Bilingual English and French is an asset



Given the size and scope of our organization, we have the flexibility for this position to be located in the following head office locations: Montreal, Winnipeg.



Be your best at Canada Life- Apply today



Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.


You can be your best here. You\xe2\x80\x99re part of a diverse and inclusive workplace where your career and well-being are championed. You\xe2\x80\x99ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.


Together, as part of a great team, you\xe2\x80\x99ll deliver on our shared purpose to improve the well-being of Canadians. It\xe2\x80\x99s our driving force. Become part of a strong and successful company that\xe2\x80\x99s trusted by millions of Canadians to do the right thing.


We are one of Canada\'s top 100 employers!



Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we\xe2\x80\x99re one of Canada\xe2\x80\x99s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations.



We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee
has the opportunity to reach their potential.


Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted



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Job Detail

  • Job Id
    JD2118420
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Winnipeg, MB, Canada
  • Education
    Not mentioned