Payment
WSIB pays _____% of _______
What is 85% of NAE
The policy that governs psychological entitlement is:
What is 15-04-02, Psychotraumatic Disability?
These are the overarching themes of the Case Management Framework
What is communication and relationships?
David is this many years old.
What is somewhere between 55 and 105?
This interventionist will complete a Focused Recovery Assessment if you ask nicely
Who is the NC?
The short-term rate is paid for this long
What is the first 12 weeks of the claim?
The policy we used when determining initial entitlement to health care benefits
11-01-01, Adjudicative Process
Name 3 of the supporting elements of the Case Management Framework.
What are:
Culture, leadership, accountability
human resources, staff skills set, knowledge and abilities
technology
business process and rules
policy and legislation
You will need to create a referral to this area when you identify possible 3rd party liability in a LT claim
What is legal?
This interventionist will meet with the WPPs to arrange for safe and timely RTW
Who is the RTWS?
Section 43(1) indicates that LOE payments continue to the earliest of:
What is:
(a) the day on which the worker's loss of earnings ceases
(b) the day on which the worker reaches 65 years of age, if the worker was less than 63 years of age on the DOI
(c) two years after the DOI, if the worker was 63 years of age or older on DOI
(d) the day on which the worker is no longer impaired as a result of the injury
This policy governs Chronic Pain Disability entitlement.
What is 15-04-03, Chronic Pain Disability
Name three of the case management activities listed in the Case Management Framework
Collect information
assess and position
set goals and make decisions
plan activities
coordinate and take action
review and monitor
close activities
follow-up evaluation
The MSK program of care lasts this many weeks.
What is 8?
The treating practitioner should call this area to arrange for treatment extensions.
What is the clinical expert line?
Name three of the six factors to consider when determining entitlement to LOE benefits.
What is:
is there a work-related impairment?
Is there clinical evidence to show the inability to work is due to the work-related injury/disease?
What is the PWI's current level of function?
Is the loss of earnings from the worker's inability to perform pre-injury work duties?
Is there suitable work available to cease the loss of earnings?
Is the worker co-operating in health care and RTW?
This policy will help you determine whether or not a job is suitable.
19-02-07, RTW Overview and Key Concepts
This Case Management activity is a roadmap to successful activities.
What is Plan Activities?
You will normally set these three goals in a claim
What are Interim RTW, RTW, and Recovery?
40 University Avenue, Toronto
To be considered "concurrently employed", the following conditions must exist:
What are:
accident employer must have WSIB coverage?
the worker must have more than one contract of employment at the time of injury?
there must be evidence of more than one continuing contract of employment during the four week period prior to the injury and the worker must have received earnings from all concurrent employment in any of the four weeks prior to the injury?
The section of the Act and the policy that will allow a decision maker to reconsider a decision.
What is Section 121 and Policy 11-01-14 Reconsideration of Decisions?
This case management activity can be demonstrated on the job by following up with workplace parties
What is Review and Monitor?
If you have a question or need more information about a concept or a process, this repository has a document for that.
CLiCK
What is a Nutterbutter