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Evidence Guide: PSPIM502A - Manage case direction and outcomes

Student: __________________________________________________

Signature: _________________________________________________

Tips for gathering evidence to demonstrate your skills

The important thing to remember when gathering evidence is that the more evidence the better - that is, the more evidence you gather to demonstrate your skills, the more confident an assessor can be that you have learned the skills not just at one point in time, but are continuing to apply and develop those skills (as opposed to just learning for the test!). Furthermore, one piece of evidence that you collect will not usualy demonstrate all the required criteria for a unit of competency, whereas multiple overlapping pieces of evidence will usually do the trick!

From the Wiki University

 

PSPIM502A - Manage case direction and outcomes

What evidence can you provide to prove your understanding of each of the following citeria?

Develop strategic case management plans

  1. Case management plans are developed to reflect the initial assessment of needs in accordance with legislation, policy and procedures
  2. Action plans are included in case management plans as required, and identify the full range of short- , medium- and long-term goals that focus on the achievement of the best possible outcome for claim resolution
  3. Avenues for appeal and procedures for grievances/complaints are contained in plans
  4. Strategies for monitoring and changing plans are established and included
  5. Cultural considerations are integrated into all aspects of case management plans
  6. Strategies for obtaining and monitoring service providers are established and implemented
Case management plans are developed to reflect the initial assessment of needs in accordance with legislation, policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Action plans are included in case management plans as required, and identify the full range of short- , medium- and long-term goals that focus on the achievement of the best possible outcome for claim resolution

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Avenues for appeal and procedures for grievances/complaints are contained in plans

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Strategies for monitoring and changing plans are established and included

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Cultural considerations are integrated into all aspects of case management plans

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Strategies for obtaining and monitoring service providers are established and implemented

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage case directions and outcomes

  1. Strategies are implemented to continually monitor the effectiveness of case management processes against agreed goals, relevant services and programs, and client and stakeholder satisfaction
  2. Rehabilitation and return to work plans are monitored to ensure they remain consistent with the determined strategic direction of case
  3. The need for changes in case plans, including the need for continued intervention, is assessed and strategies for alternative action are developed as required
  4. Payments to injured workers are monitored and adjusted as required in accordance with legislation, policy and procedures
  5. Alternatives are considered and recommended if required, should the rehabilitation and return to work process fail
  6. Advice on all aspects of case management is provided including advice on legislative and risk management issues
Strategies are implemented to continually monitor the effectiveness of case management processes against agreed goals, relevant services and programs, and client and stakeholder satisfaction

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Rehabilitation and return to work plans are monitored to ensure they remain consistent with the determined strategic direction of case

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

The need for changes in case plans, including the need for continued intervention, is assessed and strategies for alternative action are developed as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Payments to injured workers are monitored and adjusted as required in accordance with legislation, policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Alternatives are considered and recommended if required, should the rehabilitation and return to work process fail

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advice on all aspects of case management is provided including advice on legislative and risk management issues

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage complex cases

  1. Case management and return to work plans are tailored to the specific needs of complex cases in accordance with legislation, policy and procedures
  2. High-level negotiation, mediation and conflict management skills are used to manage objectives and outcomes in complex cases
  3. Expert assistance is obtained as required and case conferences are facilitated to ensure the best outcome for complex case management
  4. A risk management approach is taken in the allocation of additional resources to complex cases to ensure value for money in the rehabilitation process
Case management and return to work plans are tailored to the specific needs of complex cases in accordance with legislation, policy and procedures

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

High-level negotiation, mediation and conflict management skills are used to manage objectives and outcomes in complex cases

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Expert assistance is obtained as required and case conferences are facilitated to ensure the best outcome for complex case management

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

A risk management approach is taken in the allocation of additional resources to complex cases to ensure value for money in the rehabilitation process

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Develop strategic case management plans

  1. Case management plans are developed to reflect the initial assessment of needs in accordance with legislation, policy and procedures.
  2. Action plans are included in case management plans as required, and identify the full range of short- , medium- and long-term goals that focus on the achievement of the best possible outcome for claim resolution.
  3. Avenues for appeal and procedures for grievances/complaints are contained in plans.
  4. Strategies for monitoring and changing plans are established and included.
  5. Cultural considerations are integrated into all aspects of case management plans.
  6. Strategies for obtaining and monitoring service providers are established and implemented.
Case management plans are developed to reflect the initial assessment of needs in accordance with legislation, policy and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Action plans are included in case management plans as required, and identify the full range of short- , medium- and long-term goals that focus on the achievement of the best possible outcome for claim resolution.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Avenues for appeal and procedures for grievances/complaints are contained in plans.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Strategies for monitoring and changing plans are established and included.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Cultural considerations are integrated into all aspects of case management plans.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Strategies for obtaining and monitoring service providers are established and implemented.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage case directions and outcomes

  1. Strategies are implemented to continually monitor the effectiveness of case management processes against agreed goals, relevant services and programs, and client and stakeholder satisfaction.
  2. Rehabilitation and return to work plans are monitored to ensure they remain consistent with the determined strategic direction of case.
  3. The need for changes in case plans, including the need for continued intervention, is assessed and strategies for alternative action are developed as required.
  4. Payments to injured workers are monitored and adjusted as required in accordance with legislation, policy and procedures.
  5. Alternatives are considered and recommended if required, should the rehabilitation and return to work process fail.
  6. Advice on all aspects of case management is provided including advice on legislative and risk management issues.
Strategies are implemented to continually monitor the effectiveness of case management processes against agreed goals, relevant services and programs, and client and stakeholder satisfaction.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Rehabilitation and return to work plans are monitored to ensure they remain consistent with the determined strategic direction of case.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

The need for changes in case plans, including the need for continued intervention, is assessed and strategies for alternative action are developed as required.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Payments to injured workers are monitored and adjusted as required in accordance with legislation, policy and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Alternatives are considered and recommended if required, should the rehabilitation and return to work process fail.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advice on all aspects of case management is provided including advice on legislative and risk management issues.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Manage complex cases

  1. Case management and return to work plans are tailored to the specific needs of complex cases in accordance with legislation, policy and procedures.
  2. High-level negotiation, mediation and conflict management skills are used to manage objectives and outcomes in complex cases.
  3. Expert assistance is obtained as required and case conferences are facilitated to ensure the best outcome for complex case management.
  4. A risk management approach is taken in the allocation of additional resources to complex cases to ensure value for money in the rehabilitation process.
Case management and return to work plans are tailored to the specific needs of complex cases in accordance with legislation, policy and procedures.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

High-level negotiation, mediation and conflict management skills are used to manage objectives and outcomes in complex cases.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Expert assistance is obtained as required and case conferences are facilitated to ensure the best outcome for complex case management.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

A risk management approach is taken in the allocation of additional resources to complex cases to ensure value for money in the rehabilitation process.

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

The Evidence Guide specifies the evidence required to demonstrate achievement in the unit of competency as a whole. It must be read in conjunction with the Unit descriptor, Performance Criteria, the Range Statement and the Assessment Guidelines for the Public Sector Training Package.

Units to be assessed together

Pre-requisite units that must be achieved prior to this unit:Nil

Co-requisite units that must be assessed with this unit:Nil

Co-assessed units that may be assessed with this unit to increase the efficiency and realism of the assessment process include, but are not limited to:

PSPETHC501B Promote the values and ethos of public service

PSPGOV502B Develop client services

PSPGOV503B Coordinate resource allocation and usage

PSPGOV504B Undertake research and analysis

PSPGOV505A Promote diversity

PSPLEGN501B Promote compliance with legislation in the public sector

PSPPM502B Manage complex projects

Overview of evidence requirements

In addition to integrated demonstration of the elements and their related performance criteria, look for evidence that confirms:

the knowledge requirements of this unit

the skill requirements of this unit

application of the Employability Skills as they relate to this unit (see Employability Summaries in Qualifications Framework)

case management related to injured workers in a range of (3 or more) contexts (or occasions, over time)

Resources required to carry out assessment

These resources include:

legislation, policy, procedures and protocols relating to injury management

case studies and workplace scenarios to capture the range of situations likely to be encountered when undertaking case management related to injured workers

Where and how to assess evidence

Valid assessment of this unit requires:

a workplace environment or one that closely resembles normal work practice and replicates the range of conditions likely to be encountered when managing case direction and outcomes for injured workers, including coping with difficulties, irregularities and breakdowns in routine

case management related to injured workers in a range of (3 or more) contexts (or occasions, over time)

Assessment methods should reflect workplace demands, such as literacy, and the needs of particular groups, such as:

people with disabilities

people from culturally and linguistically diverse backgrounds

Aboriginal and Torres Strait Islander people

women

young people

older people

people in rural and remote locations

Assessment methods suitable for valid and reliable assessment of this competency may include, but are not limited to, a combination of 2 or more of:

case studies

portfolios

questioning

scenarios

authenticated evidence from the workplace and/or training courses

For consistency of assessment

Evidence must be gathered over time in a range of contexts to ensure the person can achieve the unit outcome and apply the competency in different situations or environments

Required Skills and Knowledge

This section describes the essential skills and knowledge and their level, required for this unit.

Skill requirements

Look for evidence that confirms skills in:

applying legislation, regulations and policies relating to managing case direction and outcomes

applying case management principles to injury management

using communication with diverse stakeholders including negotiation and problem solving

dealing with/managing difficult people

responding to diversity, including gender and disability

applying procedures relating to occupational health and safety and environment in the context of injury management

Knowledge requirements

Look for evidence that confirms knowledge and understanding of:

legislation, regulations, policies, procedures and guidelines relating to injury management

privacy legislation

procedures to ensure confidentiality and security of information

public sector management acts

industrial law/industrial relations practice

reporting requirements

case management principles and practices relating to injury management

equal employment opportunity, equity and diversity principles

public sector legislation such as occupational health and safety and environment in the context of injury management

Range Statement

The Range Statement provides information about the context in which the unit of competency is carried out. The variables cater for differences between States and Territories and the Commonwealth, and between organisations and workplaces. They allow for different work requirements, work practices and knowledge. The Range Statement also provides a focus for assessment. It relates to the unit as a whole. Text in bold italics in the Performance Criteria is explained here.

Legislation, policy and procedures may include:

workers rehabilitation/compensation legislation

allied legislation such as occupational health and safety acts, regulations and associated standards

privacy legislation

legislation and standards to ensure confidentiality and security of information

performance standards

rehabilitation and return to work manual

public sector legislation and standards

codes of conduct

codes of ethics

Service providers may include:

approved/accredited rehabilitation providers

occupational therapists

physiotherapists

rehabilitation counsellors

psychologists

ergonomists

Monitoring effectiveness may include:

facilitating review activities

obtaining feedback from stakeholders

liaison with service providers

feedback from injured worker

providing advice on return to work plans

Stakeholders may be:

supervisor/manager

doctor/specialist

claims management

Comcare

case manager

return to work coordinator

approved rehabilitation provider

union

family/partner

Return to work plan is:

agreed blueprint for injured worker to return to work with:

suitable duties

physical restrictions

agreed hours

supervision arrangements

Adjustment of payments may include:

increasing payments

decreasing payments

discontinuing payments

Alternatives may include:

termination on grounds of invalidity

redemption of/capital payment for liability

Complex cases may include:

multiple injuries/illness

psychiatric illness

psychological injury claims

involvement of a wide range of other agencies

cases with high public/political sensitivity

cases where there are fraud indicators

industrial/human resource issues

loss of skills

performance issues

stuck cases