|
JEFFERSON TOWNSHIP PUBLIC SCHOOLS |
|
BOARD OF EDUCATION |
|
"Committed to Excellence" |
|
|
|
Kathaleen F. Fuchs,
Ph.D
Dora E. Zeno, RSBA |
|
Superintendent of Schools
BusinessAdministrator/Board
Secretary |
|
|
Memorandum |
|
|
|
TO: District Staff |
|
|
|
FROM: Dora E. Zeno, Business Administrator |
|
|
|
RE: Work-Related Injuries Contact: 1 800-831-9531 |
|
|
|
DATE:
January 21, 2010 |
|
|
Effective February 1, 2010, the process to report a workrelated injury has changed: |
|
|
|
Ø
A completed injury form, including signature of both the injured person AND the school nurse mustbe received by the Business Office within 48 hours of the event. |
|
|
|
Ø
Supervisor
must complete First Report of Injury and Supervisor’s
Report form. |
|
|
|
Ø On the day ofthe injury, the school nurse will call First Managed Care Option (MCO) shown below. While on the telephone, MCO will speak with the injured personto conduct a preliminary intake and make an appointment with the emergency care provider. MCO is the only authorized referral cOlllpany and is the only one who can authorize a specialist to treat an injured employee for the work-related injury. |
|
|
|
Ø
In the event that the school nurse is not present, please call MCO directly at 1-800-831-9531. |
|
|
|
Ø
In case of an emergeilCY or when the above physicians cannot be reached, a local hospital may be used to treat an injured employee with the instruction that helshe is to treat with the above physicians subsequent to the emergency care. |
|
|
|
Ø
No absence may be coded to workers comp unless the
accident paperwork is received AND a note from the
medical practice is filed in the Business Office. |
|
|
|
Ø
It is the responsibility of the employee to make certain
the above steps are in place. |
|
|
|
Ø
You MUST be treated by the above-named medical practice
or else you will not have your health bills or lost time
honored. |
|
|
|
Ø
Upon release back to work, appointlllents should be scheduled outside of working hours. IMCC: 200 Route 46, Parsippany, NJ 973-882-0444 or 2 North Road, Chester, NJ, 908-879-7730 |
|
|
|
28 Bowling Green Parkway,
Lake Hopatcong, New Jersey 07849 |
|
TELEPHONE (973) 663-5782 - FAX (973`) 663-5004 |
|
www.jefftwp.org |