Human Resources

Return To Work Program

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Policy

Claremont McKenna College (CMC) has instituted a return-to-work program intended to provide employees recovering from a work-related injury or illness with an opportunity to resume work as soon as they are able in accordance with restrictions prescribed by the employee’s treating provider. Through temporary work assignments (including modified duty or alternative work), CMC attempts to structure an employee’s job duties so as to enable him or her to return to work within the confines of the restrictions identified by his/her health care provider.

Employees who sustain a work-related injury or illness are eligible to participate in this program once their treating provider has issued a return-to-work release subject to temporary work restrictions or limitations. The treating provider must provide a clear and complete written description of the restrictions so as to enable CMC to consider the feasibility of a temporary assignment within our organization, at any of The Claremont Colleges, or in the community.

Once an employee has been cleared to return to work subject to restrictions, CMC will determine if a temporary assignment is available based upon the physical limitations and restrictions outlined by the treating provider to Workers’ Compensation and Disability Administration. The employee will then receive a letter describing the temporary, modified duty, or alternate work assignment that is available. Once the written offer of a temporary assignment is extended, the employee must respond or appear at the designated site within 72 hours. Once a temporary assignment is identified that meets the employee’s work restrictions, he or she is required to accept the work or risk loss of indemnity benefits. The employee must comply with all organizational policies, procedures, and the requirements of the temporary work assignment for the duration of the assignment.

Temporary work assignments such as modified duty or alternate work are limited and should not exceed the amount of time that the treating provider determines is medically necessary (up to 90 days). The length of a temporary work assignment, however, may be shorter if CMC determines that the employee’s restrictions cannot be reasonably accommodated or if the organization and/or treating provider determine that continuation of the assignment is not feasible for any reason, including a determination that the job duties exceed the employee’s work restrictions. The employee no longer qualifies for this program if his/her medical condition becomes “permanent” (twelve months or longer).

NOTE: Nothing in the offer of a temporary position or the Return-to-Work Program entitles an employee to a temporary work assignment or changes the at-will nature of his or her employment with CMC. Assignments are temporary, and CMC reserves the right to reassess, modify, and/or eliminate the temporary position at its sole discretion.

Offer of Temporary Work Assignment

Date:
Employee:
Address:
Employee:
Employer:
Date of Injury:

Certified Mail

Dear __________________________________________:

We currently have a temporary work assignment available which will enable you to return to work in accordance with the restrictions prescribed by your treating provider. Your treating provider has released you to return to work subject to the following restrictions:

Work Status

May work full time May work _______ hours per day

Temporary total disability, off until ________________________________

No limitations

Specific limitations/modifications (listed below)

No lifting over ________ lbs.

No repetitive bending/stooping

No prolonged standing/sitting

No climbing/working at heights

No driving

No work with Right hand Left hand

Light work with Right hand Left hand

No work with Right arm Left arm

Light work with Right arm Left arm

Avoid working near moving machinery

Avoid exposure to dirt/moisture/chemicals

Sedentary work only _________ hours

No pushing or pulling

Other __________________________________________

Your temporary work assignment duties will include the following:




Offer of Temporary Work Assignment (continued)

Date:
Employee:
Address:
Employee:
Employer:
Date of Injury:

Please contact your Human Resources Office immediately to coordinate your return to work.

The temporary work assignment is limited and not intended to exceed the amount of time that your treating provider determines is medically necessary (up to 90 days). Further, CMC may reassess, modify, and/or eliminate the temporary work assignment at its discretion. For instance, CMC may curtail the temporary assignment if it determines that the assignment is not feasible and/or that your work restrictions cannot be reasonably accommodated. The temporary assignment also may be curtailed if your healthcare provider determines that the job duties exceed your restrictions.

We are pleased to be able to provide you an opportunity to return to work subject to the restrictions prescribed by your healthcare provider. As CMC has adapted the position to meet these restrictions, your failure to report for work may result in an interruption or discontinuation of your temporary total disability benefits. While on temporary assignment, you are expected to work all available hours and will not be compensated for lost time through workers’ compensation unless the absence has been authorized by your treating provider.

Nothing in this letter modifies the at-will nature of your employment with CMC or creates an entitlement to the temporary position or any other position with CMC.

Please contact Workers’ Compensation and Disability Administration with any questions.

WC&D Administrator
Maritza Quintanilla
Extension
77946 or 18847
maritza_quintanilla@cuc.claremont.edu
Sincerely,

Human Resources Office
cc: Workers’ Compensation and Disability Administration
________________________________________________
Employee Signature and Date
________________________________________________
Human Resources and Date
________________________________________________
Supervisor/Manager and Date
________________________________________________
WC&D Administration and Date



Temporary Work Assignment Agreement

Employee:
Date of Injury:
Department:
Employer:

Temporary Work Assignment

Position:
Hours to be worked:
Department
Start Date:
Latest Agreement Expiration Date:

Employee is to report to the temporary work assignment indicated above as part of his/her agreed upon participation in the Claremont McKenna College Return-to-Work Program.

Employee Agreement

By signing this form, Employee acknowledges that he/she has agreed to participate in the Return-to-Work Program in accordance with the following terms:

  1. Employee has received and accepted the Offer of Temporary Work Assignment.
  2. Employee is responsible for reporting to work at the agreed upon time and days. If Employee is not able to be at work on any given day, he/she is to call his/her supervisor or the Office of Human Resources at least one hour prior the shift.
  3. During his/her work hours, Employee will not leave the work site without authorization from a supervisor. Employee will notify supervisor before leaving the work place for his/her meal period.
  4. Employee will accurately record all hours worked each day, including any overtime hours. Any overtime hours should be approved in advance.
  5. Medical appointments are to be scheduled so that they do not interfere with work schedule.
  6. The temporary work assignment is not intended to exceed the regular number of hours Employee generally worked per week in his/her regular assignment.
  7. Employee understands that the job duties and work schedule assigned is temporary and has been determined to be compatible with any work restrictions placed upon the Employee by his/her treating physician.
  8. Employee is not to perform any job duties not approved in keeping with the temporary work restrictions provided by the treating physician.
  9. Employee will not be asked to perform any job function that exceeds the treating physician’s approved work restrictions or physical capabilities. Should Employee be asked to perform work outside the scope of his/her restrictions, he/she should contact the Office of Human Resources.
  10. Employee is expected to perform the full scope of the duties assigned, within the restrictions provided by his/her treating physician.
  11. If Employee finds that he/she cannot meet the physical demands or other requirements of the temporary assignment, he/she must immediately notify Workers’ Compensation and Disability Administration (WC&D), and his/her direct supervisor. WC&D will contact Employee’s treating physician to further review the scope of the temporary assignment and/or Employee’s continued participation in the program.
  12. The initiation or continuation of a temporary work assignment is at the discretion of Claremont McKenna College based on its good faith understanding of the medical advice provided by Employee’s treating physician.
  13. All organizational policies and procedures continue to apply while Employee is on a temporary work assignment. Please feel free to contact the Office of Human Resources with questions regarding these policies and procedures.

Note: This is not an employment contract and does not entitle Employee to employment for any period of time. Employee continues to be employed “at will,” which means that his/her employment may be terminated at any time, with or without notice, and with or without cause, at the discretion of CMC or Employee.

________________________________________________
Employee Signature and Date
________________________________________________
Human Resources and Date
________________________________________________
Supervisor/Manager and Date
________________________________________________
WC&D Administration and Date