Australian Government - Comcare

Rehabilitation Case Manager Competencies

Rehabilitation Case Manager Competencies pdf [118 kb]

The Safety Rehabilitation and Compensation Act 1988 (SRC Act) provides for the rehabilitation of Commonwealth employees following a work related injury. The legislation is designed to ensure that the employer (as the rehabilitation authority) is responsible and accountable for the safe and early return of their injured employee. The employer through the delegated Case Manager is best placed to monitor incidents or absences, intervene early, create opportunities for suitable duties and ensure the employee is appropriately and actively managed to the best possible outcome following a work related injury.

The Case Manager.s role is critical in achieving a reduction in the impact of injury in the workplace. The section 41 guidelines state that the rehabilitation authority should:

"ensure that people with case management responsibilities have the skill, experience and influence to achieve effective return to work outcomes"

To assist rehabilitation authorities to meet this requirement Comcare has developed, in consultation with agencies, guidance material on competencies for case managers.

The objectives of the competencies are to:

  • ensure case managers are capable of performing their role and function
  • support HR managers in the selection and ongoing skill development of Case Managers
  • maximise the opportunity for the best possible outcomes for injured employees
  • guide the content for the Comcare Case Management training

The case manager is normally the focal point within the employing organisation for the achievement of a critically important human resource objective . the reduction of the impact of injury in the workplace.

The functions of a case manager fall broadly into two areas:

  • Operational - Providing assistance to individual injured employees: and
  • Strategic - Managing broader issues of return to work in the organisation

An effective case manager not only coordinates various inputs to the RTW process; but also vigorously manages it. They are required to effectively manage workplace relationships and their own personal work priorities and continuing development. The competencies have therefore been designed to reflect operational, strategic and management skills.

Rehabilitation Case Manager Competencies

  1. Arrange and coordinate rehabilitation and return to work strategies
  2. Assist with the development and implementation of the agency rehabilitation system
  3. Manage effective workplace relationships
  4. Manage personal work priorities and professional development

1. Arrange and coordinate rehabilitation and return to work strategies

  • Establish rehabilitation need and potential for return to work
  • Engage and manage a Comcare approved rehabilitation provider
  • Coordinate the development of a return to work plan
  • Monitor progress of a return to work plan
  • Co ordinate case closure and provide post return to work support
  • Maintain records

2. Assist with the development and implementation of the agency rehabilitation system

  • Contribute to the planning and development of the organisation.s rehabilitation system
  • Implement the organisation.s rehabilitation system
  • Monitor and report on the organisation.s rehabilitation system
3. Manage effective workplace relationships
  • Manage information and ideas
  • Develop trust and confidence
  • Build and maintain networks and relationships
  • Manage difficulties to achieve positive outcomes
4. Manage personal work priorities and professional development
  • Establish personal work goals
  • Set and meet work priorities
  • Develop and maintain professional competence

Unit One: Arrange and Coordinate Rehabilitation and Return to Work Strategies

Description: This unit defines the various skills required of a case manager to effectively manage the occupational rehabilitation of an employee following a work related injury.

Element

Performance Criteria

Establish rehabilitation need and potential for return to work

1. Rehabilitation need and potential for return to work is assessed as soon as possible after injury and communicated to employee.

2.Nature and status of claim is understood and high risk claims are referred for appropriate rehabilitation as early as practicable.

3. Assessment is undertaken applying section 36 of the SRC Act.

Engage, where required, and manage a Comcare approved rehabilitation provider to deliver the return to work services

1. A Comcare Approved Rehabilitation Provider (ARP) is engaged, matching skills with nature of injury.

2 Agencies timeframes and desired outcomes are negotiated and agreed when the ARP is engaged.

3. A return to work plan is determined in accordance with section 37 of the SRC Act.

4. ARP services and costs are monitored and controlled, applying the Comcare standards for ARPs.

5. Feedback is given to the ARP on quality of service delivery.

Co ordinate the development of a return to work plan

1. Consultation occurs between the injured employee, employer, ARP and medical providers in developing the return to work plan.

2. High level negotiation, mediation, judgement and conflict management skills are used to manage objectives and outcomes in complex cases.

3. Return to work plans are assessed to facilitate and ensure an early, safe and durable return to work outcome.

4. A program of suitable work duties is outlined in the plan

5. The plan provides details of specific return to work goals, objectives for the employee to achieve, services to be provided, and estimates of the cost and duration of the services to be approved.

Monitor the progress of a return to work plan

1. The injured employees progress is monitored against the goals and objectives of the return to work plan

2. Case conferences and stakeholder meetings are arranged as required to achieve the goals of the return to work plan.

3. The return to work plan is amended if required to ensure the goal is achieved.

4. Regular communication is maintained with treating medical pracitioners to ensure return to work plan is consistent with medical advice.

Coordinate case closure and provide post return to work support

1. On completion of the return to work plan a closure report form is provided to all stakeholders.

2. Post case closure support is provided to injured employee and supervisor to sustain the goal of the return to work plan.

Maintain records

1. Information is gathered and recorded in accordance with agency and legislative requirements (including privacy principles).

2. Records are secure, accessible and up to date.

Underpinning Knowledge

  • Legislation . SRC Act Part III
  • Privacy Act
  • Comcare rehabilitation model
  • Agency Rehabilitation Policy
  • Return to work hierarchy of outcomes
  • Return to work procedures
  • Impact of injury and illness on job performance
  • ARP Criteria and Standards
  • List of Approved Rehabilitation Providers
  • Record keeping procedures

Unit Two: Assist with the development and implementation of the organisation.s rehabilitation system

Description: This unit outlines what is required of a case manager to effectively contribute to the organisation.s rehabilitation system

Element

Performance Criteria

Contribute to the planning and development of the organisation.s rehabilitation system

1.The organisation.s rehabilitation policy is current and consistent with the section 41 guidelines.

2.Case management delegation under section 41A is maintained.

3. Systems are developed and maintained to enable early notification of injuries and return to work action.

4. Where practicable, a preferred provider system is adopted for selecting approved rehabilitation providers.

Implement the organisation.s rehabilitation system

1. The organisation.s rehabilitation policy is promoted and made accessible to employees and supervisors.

2. Effective relationships are developed and maintained with supervisors, OHS staff, HSRs and senior management to achieve prevention and rehabilitation outcomes.

3. Advice is provided to management on injury implications of broader management initiatives.

Monitor and report on the rehabilitation system

1. Injury management and return to work outcome data is collected and collated.

2. Stakeholder feedback is gathered on the return to work process and rehabilitation system.

3. Information on claims data and costs is analysed and reported to management.

4. Strategies are recommended to improve the rehabilitation system.

Underpinning knowledge

  • Legislation . SRC Act Part III Rehabilitation
  • Organisational rehabilitation policy and procedures
  • Comcare Customer Information System (CIS)
  • Record keeping procedures

Unit Three: Manage effective workplace relationships

Description: This unit is a summary of the Frontline Management competency - BSBFLM503B. The Frontline Management competencies are targeted at middle level managers and have been endorsed as components of the Public Service Training Package. They provide generic competency requirements for managers at this level.

Element

Performance Criteria

Manage information and ideas

1.Information to achieve work responsibilities is collected from appropriate sources and communicated.

2.The methods used to communicate ideas and information is appropriate to the audience and takes into account social and cultural diversity and any special needs.

3. Consultation processes ensure employees have their opportunity to contribute and that feedback on outcomes of the process is received.

4. Input from internal and external sources is sought, and valued in developing and refining new ideas and approaches.

Develop trust and confidence

1. People are treated with integrity, respect and empathy.

2. The organisation.s social, ethical and business standards are used to develop and maintain positive relationships (eg APS Code of Conduct).

3. Trust and confidence of colleagues, employees and providers is gained and maintained through competent performance.

4. Interpersonal styles and methods are adjusted to the social and cultural environment.

Manage networks and relationships

1. Networking is used to identify and build relationships.

2. Networks and other work relationships provide identifiable benefits for the team and organisation.

3. Action is taken to maintain the effectiveness of workplace relationships

Manage difficulties to achieve positive outcomes

1. Problems are identified and analysed, and action is taken to rectify the situation with regard to organisational requirements and relevant legislation

2. Colleagues receive guidance, counselling and support to resolve their work difficulties

3. Poor work performance is managed within the organisation.s processes.

4. Conflict is managed constructively within the organisation.s processes.

Unit Four: Manage personal work priorities and professional development

Description: This unit is a summary of the Frontline Management competency - BSBFLM501B. The Frontline Management competencies are targeted at middle level managers and have been endorsed as components of the Public Service Training Package. They provide generic competency requirements for managers at this level.

Element

Performance Criteria

Establish personal work goals

1. Personal qualities and performance serve as a positive role in the workplace.

2. Personal work goals, plans and activities reflect the organisation.s plans, and own responsibilities and accountabilities.

3. Action is taken to achieve and extend personal work goals beyond those planned.

4. Consistent personal performance is measured and maintained in varying work conditions and work contexts.

Set and meet work priorities

1. Competing demands are prioritised to achieve personal, team and the organisation.s goals and objectives.

2. Technology is used efficiently and effectively to manage work priorities and commitments.

Develop and maintain professional competence

1. Personal knowledge and skills are assessed against competency standard to determine development needs and priorities.

2. Feedback from clients and colleagues is used to identify and develop ways to improve competence.

3. Development opportunities suitable to personal learning styles are selected and used to develop competence.

4. Participation in networks enhances personal knowledge, skills and relationships.

5. New skills are identified and developed to achieve and maintain a competitive edge.


Page last updated:March 31, 2008