Insurance Savings and News You Can Use
Join the Conversation!

Vocational rehabilitation (VR) is one of the benefits of Workers’ Compensation Insurance. It can benefit both the injured employee and their employer by getting the employee back to work more quickly, thereby reducing the costs associated with Workers’ Compensation claims.

However, this benefit needs to be closely monitored to ensure that it continues to benefit the injured employee. If VR is no longer benefiting them, it could be costing your business.

What Is Vocational Rehabilitation?

Vocational rehabilitation as a WC benefit is designed to help injured employees return to work. Vocational rehabilitation services can vary depending on what the injured employee needs.

According to the National Rehabilitation Information Center (NARIC), some of the services a rehabilitating consultant (QRC) may provide include the following:

• vocational assessment and evaluation
• training
• upgrading of general skills
• refresher courses
• on-the-job training
• career counseling
• employment searches
• consulting with the employer for job accommodations or modifications.

Who Can Benefit From Vocational Rehabilitation?

Typically, VR is a WC benefit reserved for injured employees who have been out of work for an extended time. The process begins with a consultation with a QRC who can make recommendations regarding whether VR could be a benefit for the injured employee or not.

The QRC considers several factors before making a recommendation, including whether or not the injured employee will be able to return to the job they had before the injury, whether or not the injured employee is expected to be able to find gainful employment with the employer he or she was with when injured, and whether or not the injured employee is able to find gainful employment through VR services based on the treating physician’s opinion.

How Can Vocational Rehabilitation Be Monitored?

If vocational rehabilitation is approved, the claim handler must monitor the regular reports issued by the QRC. Those reports will include what services are being provided and how well the employee is recovering.

When reviewing those reports, the handler should consider several things. Are the employees’ physical limitations (new or ongoing) interfering with the completion of the rehabilitation plan? The employee could have a setback or could incur a new injury or disability that could stop him from completing the VR program.

Is the injured employee fully engaging in the VR? If the employee is not cooperating, such as missing appointments or not keeping in touch with his or her employer and/or QRC, he or she is not fully engaged in the program and probably won’t benefit from it.

Should the goals of the VR be changed? Perhaps the injured employee is not progressing as expected. Perhaps they’ve had a setback. If this occurs, it may be necessary to adjust the VR goals.  

When is it Time to Terminate Vocational Rehabilitation?

If, while reviewing these reports, it appears that the injured employee is no longer benefiting from VR services, termination of those services should be considered. The individual asking for the termination of VR services has to prove that those services are no longer benefiting the injured employee.

Typically, grounds for terminating those services include the following:

• Death of the injured employee
• The Workers’ Compensation case is settled
• The injured employee is no longer participating in the services
• The injured employee returns to work with a minimal or no wage loss

Vocational Rehabilitation can often help an injured employee return to work more quickly, benefiting both employee and employer. However, Vocation Rehabilitation that is not monitored can end up costing employers big time.

That’s why it’s imperative that someone continues to monitor the injured employee’s status and level of cooperation and take steps to terminate VR services if evidence shows that the injured employee will no longer benefit from those services.

Here's How to Save Even More on Workers’ Compensation Insurance!

The independent agents at American Insuring Group specialize in Workers’ Compensation Insurance. We have the experience and the knowledge to help you lower your WC costs. Our independence allow us to shop and compare insurance providers and policies to get you the right protection at the best price.

Give us a call at (800) 947-1270 or (610) 775-3848 or connect with us online.

We provide worker's compensation insurance solutions in Philadelphia, Berks County, Lancaster, Harrisburg, Allentown, Pittsburgh, Erie, PA and beyond. 

In 1996, Pennsylvania’s Workers’ Compensation Act was amended, and Act 57 was passed.

These changes were an attempt to address the rising costs of workers’ compensation for employers without affecting the rights of injured employees.

One goal of the amendment and passing of Act 57 was to rehabilitate injured workers and help them get back into the workforce at an economic status similar to what they enjoyed prior to the disability or injury.

This may include vocational rehabilitation (VR) benefits if the injured employee isn’t able to return to the job they held prior to the injury without residual disability or restrictions.

Vocation Rehabilitation Defined

Wikipedia defines vocational rehabilitation as “a process which enables persons with functional, psychological, developmental, cognitive and emotional impairments or health disabilities to overcome barriers to accessing, maintaining or returning to employment or other useful occupation.”

Determining Earning Power and Setting a Rehab Plan

If an employee is eligible for VR, a qualified rehabilitation counselor (QRC) will interview the injured employee to determine his or her earning power. The purpose of the interview is to understand the employee’s injury and need for future medical care or treatment, to discuss work restrictions, and to develop a rehabilitation plan to get the employee back to work as quickly and smoothly as possible.

It is not limited to physical limitations, and its goal is to determine what work the employee is capable of and then place him or her in that type of job.

The goal of the plan is to promote employability and to address things like whether the employee is definitely or likely to be permanently prevented from performing their pre-injury job, whether obtaining employment with the injured employee’s current employer (where he sustained the injury) or another employer is a reasonable outcome, and what additional rehabilitation services they might need.

Rehabilitation services may include job training, physical reconditioning, or job search assistance.

Following the Progress of the Rehab Plan

As with any workers’ compensation claim benefit, it’s important that you as the employer follow the progress of the rehabilitation plan and keep in regular contact with your injured employee and the QRC. Otherwise, the claim can be drawn out and end up costing you more than it has to. Plus, the goal of a rehabilitation plan is to get the injured employee back to work whether it’s with you or another employer.

Here are 3 tools that can improve the chances of getting an employee back to work:

1. Disability Status Reports
   The QRC will send these to you regularly, and it’s important to read through them to make sure that the employee is making progress. If they aren’t, you may want to consider an independent vocational evaluation.
   
2. On-the-job Training Plans
   This is used to develop transferable job skills and should include information about a desired position for the employee, what they will need to qualify for the position, and expected wages.
   
3. Written Job Offers
   If you feel that your employee is ready to come back to work, you can write up a job offer that includes the position you’re offering including the tasks and wages.

Getting Back to Work is Good for Everyone

Getting an injured employee back to work as quickly and safely as possible is good for everyone – it keeps the employee active and engaged and helps lower the employer’s costs. Sometimes vocational rehabilitation is required, but as with any workers comp insurance claim, it’s important that you stay on top of it and continue to monitor your employee’s rehabilitation.

Contact Us for the Best Workers Compensation Insurance Info and Options

To learn more about all your workers compensation insurance options and costs, contact American Insuring Group at (800) 947-1270 or (610) 775-3848 or contact us online.  We have the info you need to make the best decision.

Best of all, you'll save on the right coverage for your business because our independent agents are free to research and compare policies from competing carriers, and then to select the one that's best for your situation.

So don't delay - contact American Insuring Group today to get started.

__  

*This blog is a summary of “Beware of Vocational Rehabilitation Costs.”