MAJOR DUTIES Management of injured Federal workers under the Federal Employee Compensation Act and other Occupational Medicine patients, Latent Tuberculosis Infection (LTBI) Clinic patients, and traditional Preventive Medicine: 1. Medical Case Management Responsibilities - Assesses the health care needs and ensures the provision of care for occupational injuries, illnesses and incidents of potential hazard exposure as the Medical Case Manager for Workers Compensation cases. Plans, develops, and implements a comprehensive medical case management program for employees with work-related injuries and illnesses. Works with the Fort Shafter Federal Employee Compensation Act (FECA) Claims Administrator to identify cases that require review, screens all FECA claims and selects those cases meeting the selection criteria for medical case management. Develops, implements, and follows-up on the return-to-work plan for employees in the case management program in concert with the client, supervisor, treating physician, Fort Shafter Injury Compensation Program Administrator (ICPA) , Office of the Worker's Compensation Program (OWCP) claims examiner, OWCP nurse case manager, lawyer, and union representatives. Coordinates with health care providers to obtain the diagnosis and plan, ensure timely/appropriate treatment, coordinate referrals for PT and diagnostic testing, and ensures workers' medical limitations are accommodated by working with Civilian Personnel Advisory Center (CPAC) and the client's supervisor/managers to find temporary jobs. Works in coordination with the ICPA and Safety officer to insure a complete record for each injured Federal employee and is responsible for the proper medical documentation of each case. Reviews employee injury data, monitors workers compensation cost containment measures, and contributes to improved workforce productivity by reducing lost work days, and lower medical care and disability costs for Schofield Barracks and tenant units. Provides and makes independent medical decisions concerning an injured employee's medical status and decides if recovery is progressing normally and when employee can return to work. Strives to reduce lost work time, medical and disability costs for injured employees. Strives to reduce lost work (comp) and medical disability costs for injured employees IAW acceptable standards of medical care. Serves as case manager and return-to-work coordinator for workers with non-work-related impairments and disabilities. Works with EEO in coordinating the Handicap Accommodation Program. 2. Occupational Health Physician Responsibilities - Provides medical care for ill and injured civilian personnel in the Occupational Health setting. Secures a health and developmental history of patients and records medical data/case histories in patient medical records. Questions patient regarding physical problems or discomforts; checks for abnormalities or signs of problems. Discriminates between normal and abnormal findings to recognize physical, emotional, or mental problems and makes critical evaluation. Examines and diagnoses patient's condition; makes decisions concerning patients medical care needs; treats acute minor illnesses and diseases within the scope of individual credentialed capabilities. Orders laboratory tests and X-rays as necessary. Refers more complicated cases and coordinates completed medical evaluations and recommendations with physicians engaged in all areas of medical specialization. Provides surveillance of patient's adherence to medical regimen to stabilize chronically ill persons; adjusts regimen within established protocols. Conducts physical assessment evaluations for clients being evaluated for pre-employment, periodic medical, annual medical, return to work assessment and, when needed, termination evaluations, within the scope of credentialing limitations and designated occupational health physician directives. Conducts the medical fitness-for-duty program in coordination with CPAC, union representatives, and related personnel, and provides data to Installation Medical Authority/Director Health Services. 3. Worksite Visit and Training Program Coordinator Responsibilities - Conducts job site visits as required to observe the workplace physical layout and operations, to detect potential workplace hazards (biological, chemical, ergonomic, physical, and psychosocial), and to monitor for compliance with safety procedures and personal protective equipment usage. Utilizes knowledge of toxicology to determine extent of actual risk posed to the worker based on industrial hygiene (IH) sampling data and ergonomic evaluations of job design. Develops, implements, and evaluates hazard abatement interventions selected from administrative, engineering and personal protective equipment options to protect the worker and the community. As the FECA Occupational Health Program manager, prepares written reports, detailing findings of the work site visit with recommended corrective actions, and independently modifies medical surveillance based on actual workplace exposures. Notifies managers and CPAC representatives regarding changes in the program. Maintains records of work site visits and communicates findings to the site supervisor, IH, safety, and other OH personnel. Promotes communication of findings to affected employees. Utilizes the computer for data management. Develops educational material, coordinates and manages delivery of the Occupational Health training programs to promote awareness of health hazards, comply with Army/DoD and other federal laws, regulations and mandates (TB, Hazard Communication, and Blood Borne Pathogen standards), prevent disease and maintain health. Plans and implements formal educational programs at the work site to meet workers needs and promote wellness (stress management, crisis intervention, workplace anger and violence, employee assistance programs). Training given to management, labor unions, health care providers, soldiers and civilians at TAMC, Fort Shafter and Schofield Barracks. Gives in-services to OH professionals and other medical professionals in the clinic to promote cross training and stay current on rapidly changing OH programs. Performs other duties as assigned to assist the Chief of the Preventive Medicine Department. 4.Professional Supervision Responsible for the direct supervision and rating of the Head Nurse of the Schofield Barracks Occupational Health Clinic. Provides oversight of the physicians assistant (PA) and GS/TAPES staff. This supervision includes, but is not limited to, performance oversight and rating of assigned personnel based on established job descriptions and work objectives and may be expanded to include other work projects as assigned. Performs other duties as assigned.