At Bridges Health, we deliver holistic health, absence management, and wellness solutions through a multidisciplinary approach. With 28+ years of success, we pride ourselves on being a multi-award-winning organization powered by a passionate and mission-driven team. We also sell commercially our proprietary AI driven data base that provides data driven results and robust ErgoWorks return-to-work Technologies.
Position Summary
As
Team Lead, Case Audit & Quality
, you will oversee the quality assurance, audit, coaching, and performance oversight of a team of disability/absence case managers. You will act as a subject-matter expert, reviewing complex files, providing guidance on challenging cases, and ensuring consistency of high-quality service delivery. You will be a key link between frontline case management and senior leadership, driving continuous improvement in client outcomes and operational metrics.
Key Responsibilities
(These may be adjusted depending on how many direct reports, span of control, etc.)
Lead, mentor, and coach a team of case managers, including giving feedback, handling performance issues, developing training plans, and supporting their professional growth
Conduct regular
file audits / reviews
of case manager work to assess compliance with policy, consistency of decisions, appropriateness of recommendations, and quality of documentation
Identify recurring trends, gaps or risk areas in audited files and develop action plans (e.g. training, process changes)
Serve as escalation point for complex or high-risk cases, providing consultation and recommendations
Participate in case reviews, peer reviews, or "second look" assessments for challenging decisions (e.g. accommodation requests, difficult return-to-work plans)
Ensure adherence to service-level agreements, contractual obligations, key performance indicators (KPIs), and quality metrics
Track audit / quality metrics, prepare regular reports and dashboards for leadership and clients
Collaborate cross-functionally (e.g. medical practitioners, Employers, rehabilitation providers, client stakeholders) to ensure alignment, clarity and escalation as needed
Help refine policies, guidelines, and best practices based on audit findings and evolving industry standards
Support onboarding and training of new case management hires, especially in audit expectations and documentation standards
Leadership over people, accountability for quality metrics
In comparable roles, leads are often involved in hiring, performance reviews, training, policy updates, and capacity planning
Participate in or lead
continuous improvement
and process optimization initiatives
-- e.g. root-cause analysis, process mapping, quality improvement projects, case management strategies, gap analysis, etc.
Required Experience & Competencies
Bachelor's degree (CVRP, RRP, CIP, Health Studies, Kinesiology, Rehabilitation Sciences, Social Work or similar).
5+ years
of progressive experience in disability / absence management, case management, or benefits adjudication
Demonstrated experience in quality assurance, audit, peer review or oversight roles in case management or health/insurance environment
Strong technical expertise in medical, functional, rehabilitation, accommodation, return-to-work principles and disability claim adjudication
Highly capable in decision-making on complex or ambiguous cases
Excellent coaching, mentoring, feedback and supervisory skills
Strong organizational, analytical, and problem-solving skills
Exceptional written and verbal communication skills (bilingual preferred, if relevant)
Comfort working in a fast-paced, metrics-driven environment
Proficiency in MS Office (Excel, Word, PowerPoint) and other case management / audit software tools
Preference given to audit and peer review experience or quality assurance in case management
Ability to work independently and as part of a distributed / hybrid team
What We Offer
Competitive salary
Flexible Remote / Hybrid work option
Comprehensive training and professional development programs
Opportunity for advancement into senior leadership roles
Strong culture of inclusion, equity, and accessibility
Supportive team environment and meaningful mission
Application Process
Application deadline: October 28, 2025
Employment type: Full-time, Permanent
Job Types: Full-time, Permanent
Expected hours: 40 per week
Benefits:
Dental care
Extended health care
Life insurance
On-site parking
Work Location: In person
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