NTISthis.com

Evidence Guide: BSBWHS407A - 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

 

BSBWHS407A - 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/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 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/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 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 injured worker
  3. Document existing skills, experience and capabilities of injured 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 pre-injury duties
  8. Assist with establishing a rehabilitation or return-to-work program in consultation with injured worker
  9. Commence 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 injured worker

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Document existing skills, experience and capabilities of injured 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 pre-injury duties

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

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

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Commence 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 injured worker
  2. Facilitate regular contact and support between provider and injured 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 injured worker

Completed
Date:

Teacher:		 Evidence:

 

 

 

 

 

 

 

Facilitate regular contact and support between provider and injured 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

The evidence guide provides advice on assessment and must be read in conjunction with the performance criteria, required skills and knowledge, range statement and the Assessment Guidelines for the Training Package.

Overview of assessment

Critical aspects for assessment and evidence required to demonstrate competency in this unit

Evidence of the following is essential:

understanding of the organisation’s rehabilitation and return-to-work programs

sound communication skills

knowledge of relevant legislation.

Context of and specific resources for assessment

Assessment must ensure access to:

appropriate documentation and resources normally used in the workplace.

Method of assessment

A range of assessment methods should be used to assess practical skills and knowledge. The following examples are appropriate for this unit:

analysis of responses to case studies and scenarios

assessment of written reports

direct questioning combined with review of portfolios of evidence and third-party workplace reports of on-the-job performance by the candidate

observation of performance in role plays

oral or written questioning to assess knowledge of workers’ compensation tribunal procedures

review of assessment undertaken of a proposed return-to-work program

evaluation of contact and support organised between provider and injured worker.

Guidance information for assessment

Holistic assessment with other units relevant to the industry sector, workplace and job role is recommended.

Required Skills and Knowledge

Required skills

communication skills and discretion to discuss compensation, treatment, rehabilitation and return-to-work matters sensitively with a range of people

consultation and negotiation skills to address issues around compensation, treatment, rehabilitation and return-to-work matters sensitively with a range of people

organisational and administrative skills to see that all claims are properly managed and that claimant is clear about what is happening and what to expect

planning skills to customise rehabilitation or return-to-work programs to suit injured workers.

Required knowledge

external parties involved in return to work

processes and procedures for accessing relevant workers’ compensation legislation, principles and procedures

processes and procedures for preparing a workplace for return to work

importance of return to work to the injured worker, fellow workers and the employer

organisation’s responsibilities for rehabilitation or return-to-work programs

rehabilitation concepts and return-to-work procedures

return-to-work planning and return-to-work arrangements

rights and obligations of all parties under the relevant workers’ compensation scheme and relevant legislation

sources of assistance to help with rehabilitation and return-to-work programs

variety of methods, techniques and tools to support the injured worker.

Range Statement

The range statement relates to the unit of competency as a whole. It allows for different work environments and situations that may affect performance. Bold italicised wording, if used in the performance criteria, is detailed below. Essential operating conditions that may be present with training and assessment (depending on the work situation, needs of the candidate, accessibility of the item, and local industry and regional contexts) may also be included.

Rehabilitation provider may include:

allied health professional, such as occupational therapist and physiotherapist

job placement or training consultant

medical practitioner

mental health professional

rehabilitation case manager

return-to-work manager.

Relevant managers may include:

business owners

line managers

persons conducting businesses or undertakings (PCBUs) or their officers

project managers

senior managers

supervisors

team leaders.

Alternative duties may include:

alternative position

limited range of duties drawn from the injured worker’s regular job

normal duties supported by providing workplace aids, equipment and other measures

combination of the above.

Evaluation may include:

determining the extent to which the program meets its objective in relation to:

attainment and durability of the worker's return to work

timeframes

success rates

costs

requirements of the injured worker, fellow workers, supervisors and managers

specified organisational objectives, targets and policies

legislative duties and requirements.