CCMC - Commission for Case Manager Occupational Health and Disability Management Questions and Answers Flashcards

In workers' compensation case management, what is the PRIMARY goal when coordinating care for an injured worker?

Answer: Facilitating recovery and safe return to work as early as clinically appropriate

The primary goal of workers' compensation case management is to facilitate medical recovery and coordinate a safe, timely return to work while balancing the interests of the injured worker, employer, and payer.

Which type of disability benefit replaces a portion of income for employees unable to work due to a non-work-related illness or injury?

Answer: Short-term disability (STD) insurance

Short-term disability (STD) insurance replaces a portion of an employee's wages when they cannot work due to a non-occupational illness, injury, or pregnancy, typically covering weeks to months.

A case manager is coordinating an early return-to-work program. Which accommodation allows an injured worker to return before full recovery with modified job duties?

Answer: Transitional or light duty work assignment

Transitional or light duty work allows injured workers to return to modified roles within their current physical limitations, promoting recovery while reducing wage replacement costs.

Under the Family and Medical Leave Act (FMLA), how many weeks of unpaid, job-protected leave is an eligible employee entitled to per year for a serious health condition?

Answer: 12 weeks

FMLA provides eligible employees at covered employers up to 12 weeks of unpaid, job-protected leave per year for qualifying serious health conditions, childbirth, adoption, or family caregiving.

Which occupational health assessment tool rates job demands by physical requirements such as lifting, carrying, and standing to match a worker's functional capacity?

Answer: Functional Capacity Evaluation (FCE)

A Functional Capacity Evaluation (FCE) is a standardized assessment measuring an individual's physical abilities and limitations to determine safe work capacity and match them to job demands.

Which federal agency enforces workplace safety regulations and standards designed to prevent occupational injuries and illnesses?

Answer: Occupational Safety and Health Administration (OSHA)

OSHA, under the Department of Labor, sets and enforces workplace safety and health standards to protect workers from occupational hazards and injuries.