Qualifications & Requirements

Health Services Coordinator (HSC) Qualifications & Requirements

  1. Bachelor's or equivalent degree AND three (3) years experience in direct patient care, return-to-work coordination, occupational health care, or equivalent experience OR seven (7) years experience in direct patient care, return-to-work coordination, occupational health care, or equivalent experience.
    • Direct patient care includes nurse, medical assistant, nurse navigators, and care coordinators, but does not include referral coordinators, schedulers, or clinical administrative staff.
  2. Able to obtain and maintain an L&I Provider ID, and bill HSC services.  No reported issues with Labor & Industries.
  3. Experience or demonstrated skills in:
    • Oral and written communication with health care professionals, patients, employers, and insurance staff and resources.
    • Data management and tracking.
    • Completing care coordination or similar documentation.
    • Analyzing and communicating provider, care coordinator, and best practice reporting data.
  4. Must successfully complete L&I required training and/or testing.

Assistant Health Services Coordinator Minimum Qualifications

  1. Three (3) years experience in direct patient care, return-to-work coordination, occupational health care, or equivalent experience.
    • Direct patient care includes nurse, medical assistant, nurse navigators, and care coordinators, but does not include referral coordinators, schedulers, or clinical administrative staff.
  2. Able to obtain and maintain an L&I Provider ID, and bill HSC services.  No reported issues with Labor & Industries.
  3. Experience or demonstrated skills in:
    • Oral and written communication with health care professionals, patients, employers, and insurance staff and resources.
    • Data management and tracking.
    • Completing care coordination or similar documentation.
    • Analyzing and communicating provider, care coordinator, and best practice reporting data
  4. Must successfully complete L&I required training and/or testing.
Standard Work

Health Services Coordination Standard Work

Health Service Coordinators (HSCs) assist providers, workers, and employers in a variety of ways. L&I has developed a core set of standard work for HSCs.  Examples of standard work include:

  1. Coordination and tracking of referrals:
    • Track referrals through provider chart notes and follow up with the worker to ensure that they have engaged with referred services. 
    • Contact referred providers' offices as needed.
    • Check with workers to see if there are any barriers to completing referred services and work to resolve them.
    • Review provider chart notes to determine next steps and assist when needed.
  2. Assessment of barriers to recovery:
    • Conduct Functional Recovery Questionnaire (FRQ) and report positive FRQs to attending providers.
    • Document pain and function scales to ensure that progress is being made.  Alert attending provider if pain and function scales show that progress is not being made.
    • Complete other assessments as needed (ex: HSC's barriers assessment).
  3. Ongoing monitoring of recovery:
    • Review new workers, work lists, and tasks daily.
    • Assist workers in navigating L&I and health care systems.
    • Determine and follow up on HSC care coordination plan goals and next steps.
    • Coordinate case conferences, refer to COHE advisors, and suggest PGAP or other programs as applicable.
    • Assist providers and workers in completing occupational disease or opioid paperwork.
  4. Refer to community services:
    • Maintain a list of community resources and share them with workers as needed.
    • Follow up with workers about community resources if it is part of their care coordination plan.
  5. Assistance with medication issues:
    • Explain the new prescribing best practices to providers (L&I resources and guidelines).
    • Check with workers about their medication usage and if they're taking them as prescribed.  Report issues to providers.
    • Alert the attending provider if the patient complains of pain issues and/or shows drug-seeking behaviors.  Discuss referrals to possible interventions (ex: PGAP) with provider.
    • Remind providers about L&I opioid paperwork and requirements.
  6. Coordination of return to work:
    • Ensure that employer, provider, and worker understand restrictions, capacities, return to work expectations, programs, and assistance opportunities (ex: Stay at Work).  
    • Answer questions about L&I related programs.
    • Assist employers with job descriptions; assist Vocational Rehabilitation Councilors (VRCs) working with providers to complete the job analysis review process.
    • Communicate and coordinate with VRCs.
    • Track work status and include return to work goals in the care coordination plan as needed.
  7. Support during transitions of care:
    • Assist workers in finding a new attending provider when needed.
    • Assist providers in submitting transfers of care when needed.
    • Assist workers coming from emergency departments and needing ongoing care to ensure continuity of care. 
    • Assist workers transitioning to and from attending provider care.
    • Communicate with other health services coordinators when workers are transitioning to other providers.
  8. Coordination of surgical care:
    • Ensure communication to workers who are surgical candidates.
    • Ensure that workers have pre-operative released to work plan.
    • Ensure that workers have post-operative recovery and released to work plan.
    • Communicate with surgeon when worker is not making progress on their post-operative recovery and released to work plan.
    • Ensure that the worker transitions to a non-surgical provider when ongoing care is needed.

In addition, HSCs support providers' best practice work and training.  Visit the information on each program's website for more information:

Training

L&I is currently developing HSC training materials.  More materials should be available through July 2022.

Training 1: Introduction to Washington Workers' Compensation

Training 2: Introduction to the Claims Process

Training 3: What is an HSC?

Payment

Please refer to your best practice program's Special Fee Schedule for more information:

Frequently Asked Questions

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