This unit covers case management of injured workers through return to work or other alternatives. It includes developing strategic case management plans, managing case direction and outcomes and managing complex cases.
In practice, managing case direction and outcomes may overlap with other generalist or specialist public sector work activities such as acting ethically, complying with legislation, delivering client services, managing resources, undertaking research and analysis, project management.
No licensing, legislative, regulatory or certification requirements apply to this unit at the time of publication
You may want to include more information here about the target group and the purpose of the assessments (eg formative, summative, recognition)
Prerequisites
Not applicable.
Employability Skills
This unit contains employability skills.
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.
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
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
Submission Requirements
List each assessment task's title, type (eg project, observation/demonstration, essay, assingnment, 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.
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
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
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
Case management plans are developed to reflect the initial assessment of needs in accordance with legislation, policy and procedures
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
Avenues for appeal and procedures for grievances/complaints are contained in plans
Strategies for monitoring and changing plans are established and included
Cultural considerations are integrated into all aspects of case management plans
Strategies for obtaining and monitoring service providers are established and implemented
Strategies are implemented to continually monitor the effectiveness of case management processes against agreed goals, relevant services and programs, and client and stakeholder satisfaction
Rehabilitation and return to work plans are monitored to ensure they remain consistent with the determined strategic direction of case
The need for changes in case plans, including the need for continued intervention, is assessed and strategies for alternative action are developed as required
Payments to injured workers are monitored and adjusted as required in accordance with legislation, policy and procedures
Alternatives are considered and recommended if required, should the rehabilitation and return to work process fail
Advice on all aspects of case management is provided including advice on legislative and risk management issues
Case management and return to work plans are tailored to the specific needs of complex cases in accordance with legislation, policy and procedures
High-level negotiation, mediation and conflict management skills are used to manage objectives and outcomes in complex cases
Expert assistance is obtained as required and case conferences are facilitated to ensure the best outcome for complex case management
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 plans are developed to reflect the initial assessment of needs in accordance with legislation, policy and procedures.
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.
Avenues for appeal and procedures for grievances/complaints are contained in plans.
Strategies for monitoring and changing plans are established and included.
Cultural considerations are integrated into all aspects of case management plans.
Strategies for obtaining and monitoring service providers are established and implemented.
Strategies are implemented to continually monitor the effectiveness of case management processes against agreed goals, relevant services and programs, and client and stakeholder satisfaction.
Rehabilitation and return to work plans are monitored to ensure they remain consistent with the determined strategic direction of case.
The need for changes in case plans, including the need for continued intervention, is assessed and strategies for alternative action are developed as required.
Payments to injured workers are monitored and adjusted as required in accordance with legislation, policy and procedures.
Alternatives are considered and recommended if required, should the rehabilitation and return to work process fail.
Advice on all aspects of case management is provided including advice on legislative and risk management issues.
Case management and return to work plans are tailored to the specific needs of complex cases in accordance with legislation, policy and procedures.
High-level negotiation, mediation and conflict management skills are used to manage objectives and outcomes in complex cases.
Expert assistance is obtained as required and case conferences are facilitated to ensure the best outcome for complex case management.
A risk management approach is taken in the allocation of additional resources to complex cases to ensure value for money in the rehabilitation process.
Forms
Assessment Cover Sheet
PSPIM502A - Manage case direction and outcomes
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
PSPIM502A - Manage case direction and outcomes
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