Unit of Competency Mapping – Information for Teachers/Assessors – Information for Learners

BSBWHS407 Mapping and Delivery Guide
Assist with claims management, rehabilitation and return-to-work programs

Version 1.0
Issue Date: May 2024


Qualification -
Unit of Competency BSBWHS407 - Assist with claims management, rehabilitation and return-to-work programs
Description
Employability Skills
Learning Outcomes and Application This unit describes the performance outcomes, skills and knowledge required to assist with the management of workers’ compensation claims, rehabilitation and return-to-work programs.It applies to individuals who assist with claims management, rehabilitation and return-to-work programs.Note that the unit does not in any way address the process of treating the worker for their injury or illness, as this is the task of health and rehabilitation professionals. Instead, the unit focuses on assisting with managing claims and ensuring that the organisation supports the worker through return-to-work programs.NOTE: The terms 'occupational health and safety' (OHS) and 'work health and safety' (WHS) are equivalent and generally either can be used in the workplace. In jurisdictions where the Model WHS Legislation has not been implemented RTOs are advised to contextualise the unit of competency by referring to the existing State/Territory OHS legislative requirements.No licensing, legislative or certification requirements apply to this unit at the time of publication.
Duration and Setting X weeks, nominally xx hours, delivered in a classroom/online/blended learning setting.
Prerequisites/co-requisites
Competency Field
Development and validation strategy and guide for assessors and learners Student Learning Resources Handouts
Activities 		Slides
PPT 		Assessment 1 Assessment 2 Assessment 3 Assessment 4
Elements of Competency Performance Criteria              
Element: 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 or 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 to ensure arrangements are made in the work team to deal with absence
       
Element: 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 affected worker
  • Document existing skills, experience and capabilities of affected 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 previous duties
  • Assist with establishing a rehabilitation or return-to-work program in consultation with worker
  • Start program as soon as possible
       
Element: Assist with monitoring and evaluating a rehabilitation or return-to-work program
  • Facilitate regular feedback and communication between provider, supervising manager and worker
  • Facilitate regular contact and support between provider and 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
       


Evidence Required

List the assessment methods to be used and the context and resources required for assessment. Copy and paste the relevant sections from the evidence guide below and then re-write these in plain English.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1 Assist with managing claims

1.1 Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements

1.2 Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements

1.3 Advise claimants as to whether their claim has been accepted

1.4 Assist with the analysis of claims to identify the nature of the illness or injury and prepare reports according to organisational policies and relevant legal and insurance requirements

1.5 Estimate projected period of absence from work and, where rehabilitation assistance is required, help to 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

2.1 Facilitate consultation between rehabilitation provider and treating doctor and other health professionals, as required

2.2 Facilitate consultation between rehabilitation provider, relevant managers and affected worker

2.3 Document existing skills, experience and capabilities of affected worker to assist with return-to-work planning

2.4 Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals

2.5 Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work

2.6 Consult with relevant managers about the return-to-work program

2.7 Determine retraining that may be required when it is not possible for the worker to return to previous duties

2.8 Assist with establishing a rehabilitation or return-to-work program in consultation with worker

2.9 Start program as soon as possible

3 Assist with monitoring and evaluating a rehabilitation or return-to-work program

3.1 Facilitate regular feedback and communication between provider, supervising manager and worker

3.2 Facilitate regular contact and support between provider and worker

3.3 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

3.4 Assist with modifying return-to-work programs where appropriate

3.5 Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate

Submission Requirements

List each assessment task's title, type (eg project, observation/demonstration, essay, assignment, checklist) and due date here

Assessment task 1: [title]      Due date:

(add new lines for each of the assessment tasks)

Assessment Tasks

Copy and paste from the following data to produce each assessment task. Write these in plain English and spell out how, when and where the task is to be carried out, under what conditions, and what resources are needed. Include guidelines about how well the candidate has to perform a task for it to be judged satisfactory.

ELEMENT

PERFORMANCE CRITERIA

Elements describe the essential outcomes.

Performance criteria describe the performance needed to demonstrate achievement of the element.

1 Assist with managing claims

1.1 Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements

1.2 Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements

1.3 Advise claimants as to whether their claim has been accepted

1.4 Assist with the analysis of claims to identify the nature of the illness or injury and prepare reports according to organisational policies and relevant legal and insurance requirements

1.5 Estimate projected period of absence from work and, where rehabilitation assistance is required, help to 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

2.1 Facilitate consultation between rehabilitation provider and treating doctor and other health professionals, as required

2.2 Facilitate consultation between rehabilitation provider, relevant managers and affected worker

2.3 Document existing skills, experience and capabilities of affected worker to assist with return-to-work planning

2.4 Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals

2.5 Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work

2.6 Consult with relevant managers about the return-to-work program

2.7 Determine retraining that may be required when it is not possible for the worker to return to previous duties

2.8 Assist with establishing a rehabilitation or return-to-work program in consultation with worker

2.9 Start program as soon as possible

3 Assist with monitoring and evaluating a rehabilitation or return-to-work program

3.1 Facilitate regular feedback and communication between provider, supervising manager and worker

3.2 Facilitate regular contact and support between provider and worker

3.3 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

3.4 Assist with modifying return-to-work programs where appropriate

3.5 Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate

Copy and paste from the following performance criteria to create an observation checklist for each task. When you have finished writing your assessment tool every one of these must have been addressed, preferably several times in a variety of contexts. To ensure this occurs download the assessment matrix for the unit; enter each assessment task as a column header and place check marks against each performance criteria that task addresses.

Observation Checklist

Tasks to be observed according to workplace/college/TAFE policy and procedures, relevant legislation and Codes of Practice Yes No Comments/feedback
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 or 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 to ensure arrangements are made in the work team to deal with absence 
Facilitate consultation between rehabilitation provider and treating doctor and other health professionals, as required 
Facilitate consultation between rehabilitation provider, relevant managers and affected worker 
Document existing skills, experience and capabilities of affected 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 previous duties 
Assist with establishing a rehabilitation or return-to-work program in consultation with worker 
Start program as soon as possible 
Facilitate regular feedback and communication between provider, supervising manager and worker 
Facilitate regular contact and support between provider and 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 

Forms

Assessment Cover Sheet

BSBWHS407 - Assist with claims management, rehabilitation and return-to-work programs
Assessment task 1: [title]

Student name:

Student ID:

I declare that the assessment tasks submitted for this unit are my own work.

Student signature:

Result: Competent Not yet competent

Feedback to student

 

 

 

 

 

 

 

 

Assessor name:

Signature:

Date:

Assessment Record Sheet

BSBWHS407 - Assist with claims management, rehabilitation and return-to-work programs

Student name:

Student ID:

Assessment task 1: [title] Result: Competent Not yet competent

(add lines for each task)

Feedback to student:

 

 

 

 

 

 

 

 

Overall assessment result: Competent Not yet competent

Assessor name:

Signature:

Date:

Student signature:

Date: