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Elements and Performance Criteria

1. Assist with managing claims
   • Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
   • Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
   • Advise claimants as to whether their claim has been accepted
   • Assist with the analysis of claims to identify the nature of the illness/injury and prepare reports according to organisational policies, and relevant legal and insurance requirements
   • Estimate projected period of absence from work and where rehabilitation assistance is required, help ensure arrangements are made in the work team to deal with absence
2. Assist with planning for and implementing a successful rehabilitation or return-to-work program
   • Facilitate consultation between rehabilitation provider and treating doctor, and other health professionals as required
   • Facilitate consultation between rehabilitation provider, relevant managers and injured worker
   • Document existing skills, experience and capabilities of injured worker to assist with return-to-work planning
   • Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals
   • Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work
   • Consult with relevant managers about the return-to-work program
   • Determine retraining that may be required when it is not possible for the worker to return to pre-injury duties
   • Assist with establishing a rehabilitation or return-to-work program in consultation with injured worker
   • Commence program as soon as possible
3. Assist with monitoring and evaluating a rehabilitation or return-to-work program
   • Facilitate regular feedback and communication between provider, supervising manager and injured worker
   • Facilitate regular contact and support between provider and injured worker
   • Assist with identifying breaches of the return-to-work program, notifying breaches and taking prompt remedial action according to organisational policies, procedures, and relevant legal and insurance requirements
   • Assist with modifying return-to-work programs where appropriate
   • Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate

Required Skills

Required skills

communication skills and discretion to discuss compensation treatment rehabilitation and returntowork matters sensitively with a range of people

consultation and negotiation skills to address issues around compensation treatment rehabilitation and returntowork matters sensitively with a range of people

organisational and administrative skills to see that all claims are properly managed and that claimant is clear about what is happening and what to expect

planning skills to customise rehabilitation or returntowork programs to suit injured workers

Required knowledge

external parties involved in return to work

processes and procedures for accessing relevant workers compensation legislation principles and procedures

processes and procedures for preparing a workplace for return to work

importance of return to work to the injured worker fellow workers and the employer

organisations responsibilities for rehabilitation or returntowork programs

rehabilitation concepts and returntowork procedures

returntowork planning and returntowork arrangements

rights and obligations of all parties under the relevant workers compensation scheme and relevant legislation

sources of assistance to help with rehabilitation and returntowork programs

variety of methods techniques and tools to support the injured worker

Evidence Required

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria required skills and knowledge range statement and the Assessment Guidelines for the Training Package

Overview of assessment
Critical aspects for assessment and evidence required to demonstrate competency in this unit	Evidence of the following is essential understanding of the organisations rehabilitation and returntowork programs sound communication skills knowledge of relevant legislation
Context of and specific resources for assessment	Assessment must ensure access to appropriate documentation and resources normally used in the workplace
Method of assessment	A range of assessment methods should be used to assess practical skills and knowledge The following examples are appropriate for this unit analysis of responses to case studies and scenarios assessment of written reports direct questioning combined with review of portfolios of evidence and thirdparty workplace reports of onthejob performance by the candidate observation of performance in role plays oral or written questioning to assess knowledge of workers compensation tribunal procedures review of assessment undertaken of a proposed returntowork program evaluation of contact and support organised between provider and injured worker
Guidance information for assessment	Holistic assessment with other units relevant to the industry sector workplace and job role is recommended

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Range Statement

The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.

Rehabilitation provider may include:	allied health professional, such as occupational therapist and physiotherapist job placement or training consultant medical practitioner mental health professional rehabilitation case manager return-to-work manager.
Relevant managers may include:	business owners line managers persons conducting businesses or undertakings (PCBUs) or their officers project managers senior managers supervisors team leaders.
Alternative duties may include:	alternative position limited range of duties drawn from the injured worker’s regular job normal duties supported by providing workplace aids, equipment and other measures combination of the above.
Evaluation may include:	determining the extent to which the program meets its objective in relation to: attainment and durability of the worker's return to work timeframes success rates costs requirements of the injured worker, fellow workers, supervisors and managers specified organisational objectives, targets and policies legislative duties and requirements.

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