FMLA Administration

In today's workplace, the value of people is critical to driving productivity and, ultimately, your bottom line. With the rising costs of illness or injury-related absences from work, employers recognize the need for outcome-based solutions focused on the health and productivity of their employees.

While the Family Medical Leave Act (FMLA) provides a valuable job-protection benefit to your employees, administering and tracking Family Medical Leave can require significant resources and administrative time.

With the growing use of Family Medical Leave by employees and the emergence of state-specific Family Medical Leave regulations, ensuring compliance can be challenging.

CareWorks USA's Disability Management solutions can provide you with a streamlined, cost-effective solution for your Family Medical Leave administration. Through our technologically advanced software and our administrative and medical expertise, our Family Medical Leave administration services provide a comprehensive package of services for employers.

Disability Management Family Medical Leave Solutions

• 24/7 absence reporting through one toll-free phone, toll-free fax or online.
• Employee and worksite education on Family Medical Leave reporting procedures.
• Experienced Leave Administration Specialists.
• Disability Nurse Case Manager availability for review of leave requests.
• Close communication with employers and their employees.
• Fair and consistent administration of Family Medical Leaves.
• Compliance with federal and state-specific leave requirements.
• Accurate tracking of absences, including intermittent and reduced schedule leaves, in any increments of time using any 12-month calendar period designated under FMLA.
• Concurrent administration of Family Medical Leave with disability and workers' compensation benefit programs.
• Timely correspondence and reporting.
• Electronic data interfaces.

Clinical Management

Clinical management is a critical component of our Family Medical Leave Administration services. It can mean the difference between a well-managed leave and ongoing absence management issues. Our nurses work closely with your CareWorks USA Designated Leave Coordinator to determine Family Medical Leave designation based on the medical information submitted. Upon receipt of certification forms for "Serious Health Condition," our nurse reviews the following:

• Duration of disability - Is the duration appropriate for the condition?
• Provider specialty - Is the provider specialty appropriate for the condition?
• Serious Health Condition - Does the condition and information provided meet the definition of a Serious Health Condition as defined by the Department of Labor?
• Medical Necessity - Does the certification form contain medical information that supports the need for leave under FMLA?

The Nurse Case Manager provides a written nurse review that includes clinical opinions and recommendations with regard to the requested leave. Our nurses and leave coordinators are structured into integrated teams, working closely with each other to ensure the best-possible outcomes.

Customized Approach

Our customized services ensure that your Family Medical Leave program is administered according to your organization's values and policies, and our experienced account management team makes the implementation process easy for you and your employees.

It takes more than just the best disability management services to improve your workforce's productivity and control your program costs-it takes teamwork. At CareWorks USA, we proudly partner with our clients and strategic partners to ensure that we're delivering the best results for your program.