| Carolina Case Management and Rehabilitation Services, Inc.
(CCM) developed its Disability Management Services Division in response to the growing
needs and interests of individual employers to become educated and trained on the
management of rising disability related costs. Our Disability Management
Services program
offers employers a comprehensive package of valuable prevention and early intervention
strategies in one program. These services are designed to enable employers to control and
manage the costs of disability while providing a safe and productive work environment for
the most valuable resource available to them, their employees. Our services are
composed of Consultation/Education Services, Post-Offer/Pre-Employment Services, and Case
Management and Prevention Services.Consultation/Education
Services
Disability Management Services are available to provide consultation and training
services in the following areas:
Development and implementation of integrated disability
management programs
Integrated disability management programs allow an employer to incorporate all disability
and work related benefit programs into one disability management program in order to
control these costs more directly. Through integration of all disability, medical and
worker's compensation benefit administration, these costs are more easily controlled and
regulated. The trend for employers is to develop integrated disability management programs
to enable 24-hour coverage of benefits for employees.
ADA Compliance Issues
Title I - Employment Title requires employers to provide reasonable accommodations to
employees with physical limitations to enable these individuals to perform the essential
functions of their jobs. Although this act involves more details, this is the basic
component on which employers would be trained.
Development and implementation of transitional return to
work programs
Transitional return to work programs allow an employer to return injured or ill employees
to the original (or as close to the original) position as possible on a graduated basis
and in accordance with the medical-physical work restrictions as determined by the
treating physician. A job analysis of the position is completed to identify the physical
demands of the job and transitional work duties. As the injured employee continues to
recover from the injury, the physician allows the employee to gradually increase the job duties
until, ideally, the injured employee is returned to the original injury. Transitional work
is becoming more favorable for employers as it allows the employee to remain involved in his or
her recovery while maintaining working relationships and staying on the job.
Education/Training for all stakeholders
The success of a disability management program for an employer is dependent upon all
stakeholders (employer, employee, supervisors, manager, HR department, safety, MD, claims personnel,
etc.) being trained on the program components and requirements. Disability
Management Services will provide all
training on any program that is established for all stakeholders of a company.
Job Descriptions and Job Analyses
Job descriptions review the components of positions to identify physical demands of the
jobs and essential and non-essential job functions, qualifications to perform the jobs,
and other miscellaneous information important to the employer to develop and maintain a
qualified employee base. This information is used to evaluate the performance of
employees, to
identify reasonable accommodations for transitional work duties or modified duties, on the
hiring of qualified personnel, etc. A job analysis is a structured method of reviewing the
physical components of jobs by evaluating specific elements such as lifting requirements;
sitting, standing, walking, pushing and pulling tolerances; environmental factors and
hazards and risks. Information obtained from the job analysis is often used to complete
the job descriptions.
Ergonomic Evaluations
With ergonomic considerations becoming more prevalent, employers
will be increasingly faced with providing work site ergonomic modifications for
employees to
avoid or reduce the incidence of muscular skeletal disorders. Disability
Management Services has partnered with HealthSouth and the NC Ergonomics
Resource Center to provide this needed
service.
Sensitivity training on disabilities for employees and
managers
This training is important for employees and managers in light of the ADA. It provides
guidance on the appropriate manner with which to work and communicate with persons with
disabilities. It is based on the concept that an employer is better equipped to
accommodate, hire and train persons with disabilities if they are prepared with the
knowledge of appropriate information on disabilities and those who have disabilities.
Injury Prevention
This component of the program involves safety training, body mechanics training, back
injury prevention, cumulative trauma disorders training and ergonomics consulting. These
services are designed to educate and train employers on the prevention of injuries as a
valuable effort to reduce work related injuries and the increasing costs associated with
these.
Hospital Bill Review
This service is designed to provide employers with a line by line review of all medical
and hospital bills to determine overcharges for medical services. In the event that there
are overcharges, an employer may be reimbursed the difference thus resulting in cost
savings to the organization. A licensed physician conducts Bill reviews.
Case Management and Prevention Services
Medical Case Management
Case management services have been shown in recent surveys to
provide a $30.00 savings for every $1.00 spent on disability lines to employers who
utilize disability benefits for employees. Based on this finding and statistic, it is very
important to realize the benefit of case management services. All CCM consultants are
trained in rehabilitation and are either certified Masters level specialists or certified
registered nurses. Case management services allow for continuity of care, on-going
communication and expeditious resolution of claims for employers.
Case management services also allow for the identification of return to
work options following an injury or illness in accordance with medically prescribed work
restrictions. These services would incorporate job analyses, job descriptions, job
modifications, etc. The benefit of on-going communication with all parties ensures a
successful program outcome.
Vocational Assessment
Vocational Assessments identify an employees current
aptitudes, interests and transferable skills when considering a return to his or her
original job or to an alternative job when assigned medical restrictions prevent a return
to this position. An assessment of the injured or ill employees transferable skills
may make the difference between maintaining a valuable employee or having to lose this
employee when job modifications are not feasible. CCM has a variety of assessment tools
with which to identify academic and vocational aptitudes, interests, skills, and job
transferability.
Job Placement Services
CCM has traditionally provided this service to employers who are not
able to accommodate an injured or ill employee due to permanent medical restrictions. Job
placement services are necessary when a return to the original position of a modified
position is not appropriate with the original employer. Under NC Workers
Compensation law, en employer is required to provide job placement assistance to injured
employees when a return to the original or modified position is not suitable.
Vocational assessment and job placement services may be provided to
employers who may face corporate downsizing or a reduction in force for employees who may
lose their jobs.
Post-Offer/Pre-Employment Services
These services are perhaps the most important of all of the
Disability Management Services
program service components. Included in this category are drug testing and screening
services, physical abilities testing to identify a potential employees physical
ability to perform the essential functions of a job prior to employment,
cumulative trauma disorders screening and prevention services and background
investigations.
Post-offer pre-placement services allow employers to properly and
legally identify suitable employees and to screen out potential problem areas prior to
allowing an individual to start employment. Through CCMs cooperative efforts with
CSS, Inc. HealthSouth, and the NC Ergonomics Resource Center, our Disability
Management Services program is able to offer employers extremely
valuable tools and services by which to reduce the increasing costs of disability and to
prevent injuries or illnesses from occurring in the first place. |