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

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

 

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

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

Assist with managing claims

  1. Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
  2. Notify rehabilitation provider according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements
  3. Advise claimants as to whether their claim has been accepted
  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
  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
Process workers’ compensation claims according to organisational policies and procedures, and all relevant legal and workers’ compensation insurance requirements

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Advise claimants as to whether their claim has been accepted

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with planning for and implementing a successful rehabilitation or return-to-work program

  1. Facilitate consultation between rehabilitation provider and treating doctor and other health professionals, as required
  2. Facilitate consultation between rehabilitation provider, relevant managers and affected worker
  3. Document existing skills, experience and capabilities of affected worker to assist with return-to-work planning
  4. Assist with job redesign, reduced hours and alternative duties according to advice from health and rehabilitation professionals
  5. Assist with design of a rehabilitation or return-to-work program to achieve a successful return to work
  6. Consult with relevant managers about the return-to-work program
  7. Determine retraining that may be required when it is not possible for the worker to return to previous duties
  8. Assist with establishing a rehabilitation or return-to-work program in consultation with worker
  9. Start program as soon as possible
Facilitate consultation between rehabilitation provider and treating doctor and other health professionals, as required

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Facilitate consultation between rehabilitation provider, relevant managers and affected worker

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Start program as soon as possible

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

  1. Facilitate regular feedback and communication between provider, supervising manager and worker
  2. Facilitate regular contact and support between provider and worker
  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
  4. Assist with modifying return-to-work programs where appropriate
  5. Assist with evaluating each rehabilitation or return-to-work program and implementing recommendations for system improvement where appropriate
Facilitate regular feedback and communication between provider, supervising manager and worker

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Facilitate regular contact and support between provider and worker

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assist with modifying return-to-work programs where appropriate

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Assessed

Teacher: ___________________________________ Date: _________

Signature: ________________________________________________

Comments:

 

 

 

 

 

 

 

 

Instructions to Assessors

Evidence Guide

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

Required Skills and Knowledge

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