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7:03:56 PM CDT
Thursday, May 28, 2015

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Topics Vocational Rehabilitation Forms & Publications Physical Demands-Strength Rating
Return to Work Services Preferred Worker Program WSI SAW/RTW Initiatives Actions and Motions
Transitional Work Job Development Vocational Rehabilitation Brochure The Role of Medical Case Manager
On-Site Return to Work School Coordinator Preferred Worker Program Brochure MCM Initial Evaluation Form
Medical Case Managers When Work Related Disability is Medical Required MCM Referral Criteria MCM Extension Request Form

On-Site Return-to-Work Case Managers
WSI has teamed up with six of the larger medical facilities in North Dakota to have registered nurses on site to assist injured workers seeking medical attention at their facilities. RTW case managers will open case management services when their initial evaluation indicates:

  • A wage-loss claim has occurred (time loss from work for five or more consecutive calendar days)
  • Work restrictions prevent the injured worker from returning to the pre-injury position
  • Claims adjuster requests assistance
  • Extended medical treatment is anticipated

The RTW case managers assist in coordinating care and evaluate proposed medical treatment for appropriateness and medical necessity. They also assist with transitional work and work restrictions, act as a liaison between the injured worker, employer, medical provider and WSI claims adjuster, and provide recommendations for care. They do not make decisions on compensability of claims.

The RTW case manager will continue to follow the care until:

  • The injured worker has returned to work in their pre-injury position or a modified position (the injured worker’s pre-injury job that is modified to accommodate restrictions imposed by the physician) and further impact by the case manager is not expected
  • Employer will not be returning injured worker to work
  • Employer or adjuster do not feel RTW case manager is necessary (Some employers have detailed RTW programs)
  • Adjuster feels comfortable following the RTW process

For injured workers treating in facilities who do not have an On-Site RTW case manager, the claims adjuster, employer or medical provider can request assistance from WSI medical case managers.

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