Job readiness
What letters do we send once we have confirmed a worker is job ready?
CL041Z- Fit for Work- Restrictions and WLS Pending (permanent);
CL502A- SJS Temp WR no Job Goal (temporary; 12 weeks or less)
How many weeks is a worker initially entitled to for SJS?
Up to 12 with the possibility of extensions
What two re-employment services run concurrently?
Supported Job Search (SJS) and Job Planning (JP)
What are the three outcomes following an RE triage?
1) Skilling up (job attached and non-job attached)
2) Full-time retraining (not job attached)
3) SJS (not job attached)
What benefit do we pay when a worker is fit for work and not job attached and a referral for RE triage has been completed?
VR01
What benefit do we pay once a worker has been found job ready and are no longer job attached?
VR01; VR02, VR05
Job readiness tool is available on the EW
How many SJS extensions are possible?
Two extensions
1) Initial extension for not securing work or a job lead- 4 wks
2) personal factors- 4 wks
What documents are required for approval of a wage loss?
C1406 (triage assessment)
C880 (no job lead identified)
C880L (job lead identified)
C880A (worker found a job)
C880L (SJS update- actual)
C880T (job lead with training plan)
C888 (SJS discharge report)
What is skilling up?
Courses which are not job specific and can be applied generally- workers who are still job attached but need a specific skill set to perform modified duties or another job in a different field
What benefit code do we pay when a worker is in full-time academic training?
VR02
Scarlette is no longer job attached. She participated in supraspinatus tendon repair surgery with Dr. Boorman on Dec 12, 2022. She is now at least six (6) weeks out of surgery and started physiotherapy two weeks ago. Is Scarlette job ready?
No- Scarlette is not job ready as she has not achieved a medical plateau. Her functional status is anticipated to change within the next 12 weeks
What are the three personal factors to support the second, four-week SJS extension?
1) Worker has less than grade 12 education or GED
2) Worker requires an English interpreter for everyday interactions
3) Worker is 60 yrs or older at the time of job search
Joe has had 8 weeks of SJS where a job lead and pre-approval have been submitted. Can we send for final approval?
No- Joe still has 4 weeks remaining of SJS where he may find a job
What sections of the WC Act and Policies guide us in making decisions about RE services?
Sec 56- Compensation for disability
Sec 89- Board to provide vocational rehabilitation services
Policy 04-04- Permanent disability
Policy 04-05- Return-to-work services
Following the RE triage assessment, what benefit do you pay at the time of SJS intake?
VR04
John is a 64 yr old truck driver who had a total knee replacement (TKR) and has been discharged from his surgeon. He has participated in 12 weeks of community PT with restrictions anticipated. Is he job ready?
Yes- procedure 41.1b stipulates 12 weeks of PT will be approved post TKR repair. John is likely at a plateau and can commence RE services
What can end a worker's entitlement to SJS?
1) 12 weeks have been completed and a job lead is on file
2) A worker obtains actual employment
3) No job lead identified and SJS extensions have been exhausted
What information is required when requesting final approval of a TEL or ELP?
Confirmation of rate; retirement discussion; last mod work discussion/liability discussion; job lead SAS criteria confirmed; and concerns addressed with the worker
At what point will worker's commence SJS?
1) SJS initial case conference- benefits will change to VR04
2) Following skilling up or training
A worker is participating in part-time skilling-up. What benefit code is payable?
VR04
The worker will be looking for work while skilling-up.
Frank was previously estimated as a dispatcher in 2007. He receives an ELP. His claim recently re-opened for a shoulder replacement. He has had 12 weeks of physiotherapy and medical reporting from the PT supports he is fit to work at a limited level. Is he job ready?
Yes- our goal is to rehabilitate the worker to their previous level of function. In this case, Frank is fit to resume work as a dispatcher based on the medical reporting on file
How many case conferences are required throughout SJS?
Three case conferences:
Week 2 into SJS; Week 8 into SJS; Week 12 and/or discharge SJS; possibly more if worker goes into extension
Where would you confirm the client's vocational suitability for a position?
Master Resume or Job Option Report (880)
When should you anticipate receiving an 880 report containing a job lead to review for pre-approval?
After RE triage is complete
**if no job lead is found, you will still receive an 880 report. Another report will be submitted when a job lead is identified**
Following the end of SJS, a worker has not found a suitable job lead. What benefit is payable?
A 0-based wage loss- depending on the circumstances a TPD or ELP may be indicated.
Use your best judgement (think: Are restrictions likely to improve? What is the severity of the worker's injury and restrictions? is it realistic the worker will resume any form of work given the degree of disability?)