Nurse Case Management

At RehabWest, we recognize the pivotal role nurse case managers play within the realm of California Workers’ Compensation. They act as educators for injured workers, helping them understand their injury and a path towards recovery. Furthermore, they collaborate with healthcare providers to establish suitable treatment plans, with a strong emphasis on return to work. Serving as liaisons, our nurses collaborate amongst all involved parties, aiming for substantial reductions in medical and indemnity exposure. Many of our dedicated nurses hold credentials as Certified Case Managers (CCM) or Certified Occupational Health Nurses (COHN).
We offer dynamic telephonic, field, task, and catastrophic case management services, ensuring every injured employee receives the care they need. Collaborating with claims examiners, our nurses set clear, targeted objectives from the very beginning of each assignment. For specific needs, our nursing team is equipped to handle task assignments. These tasks are tailored to address specific goals and challenges, be it acquiring work restrictions for modified duty or procuring medical documentation.

Utilization Review

RehabWest provides Utilization Review (UR) services to employers, claims administrators and insurance companies throughout the United States.

At RehabWest, we pride ourselves on offering premier Utilization Review (UR) services, tailored specifically for the needs of employers, claims administrators, and insurance companies within the framework of California Workers’ Compensation. Our prime objective is to ensure favorable clinical results for injured workers, while simultaneously ensuring cost-effectiveness for our customers.

We adhere to Labor Codes and Regulations across multiple jurisdictions. Our services encompass prospective, concurrent, retrospective, and imminent threat reviews. Furthermore, we provide an appeals program and peer-to-peer reviews to expedite case resolutions.

The benefits of our UR services to a claims management program are wide ranging:

• Enhanced medical outcomes for injured employees through evidence-based medical guidelines.

• Significant cost reductions by preventing medical treatment not supported by guidelines.

• Tailored reports showcasing specific data points.

• Comprehensive and precise determinations that can withstand both medical and legal examinations.

Ergonomics

RehabWest stands at the forefront of addressing Cumulative Trauma Disorders, offering a comprehensive range of ergonomic solutions and training. Tailored to the unique demands of office settings within the framework of California workers’ compensation, our ergonomics team assesses both individual and holistic workspaces. We advise on enhancements, suggest ergonomic products, assist in their setup, and execute ergonomic initiatives. Further solidifying our commitment, we impart injury prevention knowledge to ensure a safer workspace for every employee.

ADAAA/FEHA Compliance Services

RehabWest focuses on assisting California employers navigate the complexities of workers’ compensation and disability management. Our Return-to-Work Coordinators specialize in Job Function Analysis (JFA) and Interactive Process (IP) services, which are paramount for compliance with the Americans with Disabilities Act Amendments Act (ADAAA) and the Fair Employment Housing Act (FEHA).

Job Function Analysis

Our JFA format has been designed with input from experts in the field of workers’ compensation to include physicians, attorneys, employers and disability managers. Our JFAs provide in-depth descriptions of both essential and non-essential job roles. Our Return-to-Work Coordinators have over 50 years combined experience preparing JFAs for employees in wide ranging fields, including education, public sector, industrial, entertainment and hospitality.

Interactive Process

Our Return-to-Work Coordinators seamlessly conduct and record the IP, whether through in-person meetings, video conferencing, or phone calls. While they play a crucial role in facilitating this process, they function as impartial observers, refraining from making decisions about accommodations. This approach provides injured employees a platform to suggest potential job modifications based on their restrictions, and for employers to assess the feasibility of these suggestions. Our IP Accommodation Services enhance any return-to-work or absence management program.

Specialized Staff Training

RehabWest stands at the forefront of addressing Cumulative Trauma Disorders, offering a comprehensive range of ergonomic solutions and training. Tailored to the unique demands of office settings within the framework of California workers’ compensation, our ergonomics team assesses both individual and holistic workspaces. We advise on enhancements, suggest ergonomic products, assist in their setup, and execute ergonomic initiatives. Further solidifying our commitment, we impart injury prevention knowledge to ensure a safer workspace for every employee.