Elements and Performance Criteria
- Manage case load
- Understanding of the skills required to prioritise case load management is demonstrated
- Strategies are implemented and used to manage case load commitments in line with current personal injury case plans, timeframes and in accordance with organisation guidelines
- Strategies used for keeping stakeholders consulted and informed of the progress of each case are implemented
- Strategies used to monitor and review progress of current case loads are implemented
- Strategies and referral processes for managing and handling non-timetabled events and situations are implemented
- Organisation strategies for meeting, reporting and data submission commitments for the case load are followed
- Case management loads are maintained in accordance with organisation and legislative requirements
- Where necessary, additional personal injury cases are referred to appropriate personnel
- Ensure case management model is applied
- Organisation procedures and guidelines are adhered to throughout the personal injury management process, from referral to closure
- Appropriate internal or external stakeholder referrals for injured workers requiring personal injury management and vocational rehabilitation services are sought
- Organisation guidelines and procedures are followed for the collection of information required, from initial assessment through to case closure
- Personal injury plans and programs are implemented using a cooperative approach ensuring all stakeholders are informed of plan requirements
- Appropriate agreement, signatures and authorisations are obtained prior to an injured person returning to work
- Contact, monitoring, review and closure process are adhered to and used in accordance with organisation requirements
- Conduct an initial assessment
- Contact is made with stakeholders to gather relevant information on personal injury case in accordance with organisation guidelines and legislative requirements
- Additional information is sought and obtained from relevant stakeholders as required
- Initial interview and assessment is conducted in accordance with organisation guidelines and legislative requirements in order to determine conclusions
- Need for specific assessment and referral services is determined in line with legislation, and referrals are provided for these in accordance with organisation policies and procedures
- Appropriate information required to support the referral process (internal and external) is provided to stakeholders in accordance with organisation guidelines and legislative requirements
- Plan case
- Agreement on goals is made, in consultation with client, treating medical practitioner, employer and other key stakeholders
- Additional sources of information relevant to the rehabilitation planning and process are identified and accessed appropriately
- Appropriate goal setting process are negotiated with the person in accordance with organisation guidelines
- People are assisted, in accordance with organisation policies and procedures, to demonstrate costs and benefits of options to assist them with the decision making process
- Case plans are developed
- Strategies for obtaining approvals from the treating medical practitioner and stakeholders prior to the commencement of a return to work and health program are obtained in accordance with organisation policies and procedures
- Regular communication is maintained with relevant stakeholders throughout the rehabilitation program
- Monitor and review case progress
- Organisation guidelines are used to determine when to schedule multidisciplinary team and review meetings
- Organisation processes are used to identify services, costs and methods of evaluation at each stage of the rehabilitation process
- Indicators and triggers which suggest modification or alteration to the case plan are identified in accordance with organisation guidelines and case plan is modified or altered accordingly
- Organisation guidelines are used for monitoring the progress and effectiveness of a person's case
- Techniques are used in assisting an injured person with the long-term management of their injury
- Ensue effective program closure
- Organisation policies and procedures, and legislative requirements are used to identify when the provision of case services are no longer appropriate
- Closure interviews or contact with the worker, are communicated using appropriate techniques
- Consultation with relevant stakeholders required at the vocational program closure is undertaken in accordance with organisation guidelines and legislative requirements
- Program closure is recorded and files are archived in accordance with record keeping requirements