Policy and Procedure Name:
|
Job Retention Plan Development and Implementation
|
Policy #:
|
VR-10-01
|
Code/Rule Reference:
|
R.C. 4121.61;
O.A.C.
4123-18-05
|
Effective Date:
|
07/01/21
|
Approved:
|
Deborah Kroninger, Chief of Medical Operations
|
Origin:
|
Vocational Rehabilitation Policy
|
Supersedes:
|
Policy # VR-10-01, effective 08/20/18
|
History:
|
Previous versions of this policy are available upon
request
|
I. POLICY PURPOSE
The purpose of this policy is to ensure that an appropriate job
retention plan is developed for an injured worker (IW) in a consistent, timely
and efficient manner.
II. APPLICABILITY
This policy applies to the:
·
BWC disability management coordinators (DMC);
·
Managed care organization (MCO) staff involved in the
coordination and management of the vocational rehabilitation program; and
·
Vocational rehabilitation case managers (VRCM) assigned by the
MCO.
III. DEFINITIONS
See Vocational Rehabilitation Definitions.
IV. POLICY
It is the policy of BWC that a job retention plan will be
developed and implemented when an IW is approved to participate in job
retention services needed to maintain employment.
V. PROCEDURE
A. Job
Retention Plan Development
1. Prior to
development of the job retention plan, the VRCM must have completed the contacts
as required for job retention services pursuant to the Initial
Assessment and Assessment Plan policy and procedure.
2. The VRCM shall:
a. Prepare and
submit the written job retention plan, utilizing the Vocational
Rehabilitation Job Retention Plan (RH-47) form, as soon as possible but
no later than 28 calendar days after being assigned the case; and
b. Staff the job
retention plan with the MCO if required by the Vocational
Rehabilitation Plan Review and Decision policy and procedure.
3. When preparing
the RH-47, the VRCM shall:
a. Ensure all
sections of the RH-47 are complete;
b. Identify the
issues to be addressed;
c. Detail and
justify planned services;
d. Complete the
service grid; and
e. Complete plan of
service approvals, which include:
i. The hard
copy signature of the VRCM that prepared the RH-47 and the date; and
ii. Verification
of verbal approval by the IW.
a) The VRCM shall
obtain an updated verbal approval from the IW anytime there is a substantive
change to the RH-47 (e.g., job goal changes, adding or removing a service).
b) The VRCM is not
required to receive an updated verbal approval from the IW if the RH-47 is
being corrected for clerical errors (e.g., date corrections.
4. The MCO shall
review the RH-47 in accordance with the Vocational
Rehabilitation Plan Review and Decision policy and procedure.
5. The VRCM shall
obtain and submit to the MCO the IW’s hard copy signature on the RH-47 within
30 calendar days of the start of plan services.
B. Amended Job
Retention Plan
1. The VRCM shall
complete an amended job retention plan using the RH-47 when it is determined
that additional services are necessary.
2. The VRCM shall
submit an amended job retention plan to the MCO so that it is received by the
DMC within three business days prior to the end of the previous plan.
C. Progress Reports
1. At least every
30 calendar days of plan participation, the VRCM shall submit either:
a. A progress
report using the Vocational
Rehabilitation Progress Report (RH-46); or
b. An RH-47, if the
plan or services have been amended (see above for RH-47 submission
requirements).
2. When submitting
the RH-46, the VRCM shall:
a. Hard copy sign
the RH-46; and
b. Ensure that it
is received by the MCO no later than five business days from the end of the
30-day reporting period.