NEVADA DEPARTMENT OF CORRECTIONS

Agency Loss Control Coordinator

(775)887-3269-

Human Resources

Goals & Objectives Goals & Objectives The purpose of this class is to familiarize students with the The purpose of this class is to familiarize students with the

benefits provided by workers’ compensation and the process benefits provided by workers’ compensation and the process involved in filing a workers’ compensation claiminvolved in filing a workers’ compensation claim

be able to better identify work-related injuries/diseases

more timely and accurately complete the required paperwork

better utilize the medical, compensation, and heart/lung benefits provided by workers’ compensation

be able to fully participate in the Early Return to Work

program

The student upon completion will

Workers’compensationGoverned by

Nevada Revised Statutes

Chapter 616Chapter 617

Nevada Administrative Code

CaselawPrecedent setting

AR 329

Workers’compensation systempartners working together

• Insurer American Home Assurance

• Risk ManagementProgram Administrator

• CCMSI

• Department representative

Human Resources

Agency Loss Control Coordinator

MCO, Claims Adjusters, Nurses, etc.

Workers’ Compensation

Liaisons

NNCC – Tammy Hohenstein(775) 887-9221

Warm Springs –Margaret Whittington(775) 684-3000 ext. 3005

ESP - Lt. Calvin Peck (775) 289-1292 Marjalisa Bybee (775) 289-1218

Lovelock CC - Lt Valaree Olivas(775) 273-4279

Casa Grande - Paula Miles(702) 486-9918

FMWCC – Michele Andress (702) 651-8866 ext. 2205

SDCC – Marta Santiago (702) 879-1201

High Desert – Evangelina Lucero-Torres (702) 879-6689

Camps - Lieutenants

Need a doctor for a work related injury see

Concentra Medical Centers

† 3900 Paradise Rd Ste V

Las Vegas

† 5850 S Polaris Rd #100

Las Vegas

† 149 N Gibson #H

Henderson

† 151 W. Brooks Ave

N Las Vegas NV

† 2952 Meade Ave

Las Vegas NV

†Concentra Medical Centers 6410 So Virginia St Reno NV

Concentra Medical Centers 255 Glendale Ave # 12 Sparks NV

†Nevada occupational Health Center 3488 Goni Rd Bldg E #141 Carson City NV

Need a doctor for a work related injury see

Need a doctor for a work related injury see

† Specialty Health Clinic 330 Liberty St. #100 Reno NV

Northern Nevada Medical Group 5575 Kietzke Ln Reno, NV

ARC Health and Wellness2205 Glendale Ave #131

Sparks NV

Responsibilities, reporting and deadlines

An employee is required to report all accidents assoon as possible to their supervisor. A Notice of Injury, C1, must be completed within 7 days of the incident

If an injury requires medical treatment, the employee must obtain treatment within 90 days of the accident.

The medical provider must complete a Physician’s Report of Injury, C4. The medical provider must provide the insurer and employer a copy of the C4 within 3 days of the medical exam.

Responsibilities, reporting and deadlines

An employee is required to obtain a Physician’s Physical Assessment form from the physician after each medical examination and provide a copy to their supervisor immediately or no later than 3 days after the medical examination. The supervisor should fax a copy to the W/C liaison or Loss Control Coordinator immediately.

The supervisor is required by law to complete an Employer’s Report of Injury, C3, after notification of medical treatment. Notification of medical treatment can be either written or verbal. The supervisor must fax a copy of the C3 immediately to the W/C liaison or the Loss Control Coordinator.

Fines

NRS 616.045 states it is the employers’ responsibility to complete and provide the insurer with the C3, the accident report, within 6 days of notification of medical treatment; failure to do so may result in a $1000 fine for each violation

REMEMBER!!!!!!!!!

As a supervisor it is your responsibility to ensure the workers’ compensation forms are completed and fax it to the W/C liaison or the Loss Control Coordinator

Leave Choice Option

Total temporary disability is paid by the insurer when an employee is temporarily unable to work in any capacityThe employee can either receive total temporary disability paid at the rate of 66 2/3 of their gross income or use their leave time, annual, sick or comp, and receive 100% of their usual pay

If the employee chooses to use leave time, the insurer’s disability check will be used to “buy back” some of the employee’s leave

Insurer = TTD=66 2/3 % gross income = break in serviceNDOC=Leave time=100 % salary=buy

back=continuous service

**** “break in service” is a very important issue when determining Heart/Lung benefits

Early to Work programmandated by the Governor

An employee is required to obtain a Physicians Physical Assessment form at each doctor visit

An employee is required to provide a copy of the Physicians Physical Assessment form to their supervisor no later than 3 days after the medical exam

The supervisor is to fax the Physicians Physical Assessment form to the W/C liaison or Loss Control Coordinator immediately

Early Return to Workwith temporary restrictions

Identifying an appropriate light duty positions

First - within same facility

Second – within NDOC

Third – Other state agencies

Permanent Restrictions

• Permanent restrictions may prohibit employee from returning to their pre-injury employment

Process of identifying an appropriate light duty position that accommodates permanent physical restrictions as outlined in the NRS

• First – within same facility• Second – within NDOC• Third – within other state

agencies• Fourth – provided rehabilitation

benefits by insurer

EXPOSURESBloodborne pathogen

• All exposures – are to be - reported immediately; follow up with C3• Significant exposures - an employee is to be excused immediately to obtain medical treatment, there is a two hour windowin which Rx is to be administered.

• ALL other exposures Employees are to be tested

within 72 hours (NRS) unlessdeclination is signed by employee

Heart and Lung BenefitsCriteria – full time continuous,

uninterrupted and salaried uniformed employee for 5 yrs

&

complied with annual physicals

None of the predisposing factors on a continuous basis

Obesity Uncontrolled hypertension Smoking Chewing tobacco Uncontrolled diabetes Elevated lipids/triglyceride

Benefit provided by workers’ compensation

expenses as a result of a disease of the heart and/or lung including wage compensation, medical, and death benefits