Disability Case Management

The scope of disability management for each case is based on the specificities of the workplace, its environment and the policies and programs in place governing the employees’ benefits eligibility along with return- to- work practices. We work with our clients to provide the most cost effective solutions that work for the client and the environment even when the work environment may be challenging, remote, and may require special considerations for qualifications of personnel, equipment, telemedicine, weather, and travel.

Case Management Service Delivery

At Horizon, we employ occupational health nurses experienced in providing disability management, rehabilitation and return-to-work planning services. Our nurses provide thorough disability management assessments, claims adjudication, and facilitation of customized return to work plans that are guaranteed to be within the parameters of your organizations modified work and case management corporate goals. Our disability case managers utilize Reeds Disability Management Guidelines and Occupational Disability Guidelines to support our practice.

Our case managers work diligently to develop return to work plans that are medically suitable given the nature of each individual injury/illness. We communicate with the employee, his or her treating practitioners, supervisors/management, as well as the owner’s personnel (EHS and incident investigation personnel) in order to ensure the plan is manageable for all parties involved and to assure the best possible outcome. Each assigned case manager will regularly re-evaluate the employee’s progress with the goal of returning the employee to regular duties as soon as is medically possible.

Throughout the disability process, the Case Manager continues to provide support to both the employee and employer, including:
• Support for non-medical barriers
• Support for navigating recovery
• Physician to physician consultation
• Medical consultation with in-house physicians
• Monitoring recovery
• Monitoring compliance
• Return to work planning, coordination
• Modified work planning and support
• Recommendations for additional support programs
• Ongoing communication
• Follow-up with stakeholders following full return-to-work

The primary goal of disability management programing is to ensure that employees with illness or disability receive proper care and treatment during their absence and return to work promptly and safely.

Reduced Costs Associated With Absence & Disability

We have a proven track record in reducing organizational costs associated with absence and disability. We do so with an approach that enhances the employee experience by focusing on engagement and navigating the right support at the right time for the right issues.

Horizon’s Disability Management programs help to reduce the cost of absence by reducing the incidence and duration of both occupational and non-occupational claims. We do so by immediately assessing both the medical and non-medical barriers affecting the return to health and work, and by supporting the resolution of those barriers from our first level of engagement. Attaining successful outcomes is as much about interest and engagement, as it is about ability. Each case is assessed for opportunities for safe, timely and sustainable return to work, from day one of our involvement and on an ongoing basis.

Administrative Efficiency

We also help organizations enhance program delivery and reduce waste by realizing operational and administrative efficiencies. There are many stakeholders that are involved in supporting the broad scope of absence management – including functions associated with administration, support for a return to health and support for a return to work. Stakeholders include the employee, supervisors, HR, occupational health teams, labour representation, the attending physician, specialized medical resources, community support resources and others.

Having clear roles and accountabilities defined for stakeholders is critical to successful programs. Mapping clear process and protocols against all stakeholders to ensure efficiencies are realized, is something we do with all clients as part of implementation and on an ongoing basis. We work with our clients to identify opportunities for enhanced program delivery, through the effective and efficient use of all resources.

Disability Case Management

The scope of disability management for each case is based on the specificities of the workplace, its environment and the policies and programs in place governing the employees’ benefits eligibility along with return- to- work practices.

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