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  • Home
  • FORMS
  • Medical
  • Pharmacy
  • Dental
  • Vision
  • AIRMEDCARE Benefits
  • Ambulatory Surgery Center
  • Carrum Health
  • Health Benefits Orientation
  • Employee Assistance Program
  • MD Live
  • Oncology Center of Excellence
  • Open Enrollment
  • Second Opinion Service
  • Section 125
  • VIDA Virtual Health Coach
  • Wellness
  • Workplace Injury/Illness

Company Nurse

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​Company Nurse Injury Hotline: 1-877-518-6702
24/7/365 Toll-free Injury “hotline” to report all workplace injuries

Instructions for Injured Employee
All incidents/injuries MUST be reported to Site Supervisor
           1. You must call Company Nurse at 877-518-6702. Use the Search Code SIG05 to speed up the intake process. Please
                document your call confirmation/reference number.
                                                      Possible Outcomes from the call:
                                                        ○ Self-Care or basic first aid, or
                                                        ○ Referral to medical facility by a Nurse


        2. If you do NOT want medical treatment at this time, this does not give up your right to seek medical treatment at a later
               date should the need arise. If your symptoms worsen and you want medical treatment at a later date, simply call Company Nurse

               and get a referral to medical facility.

          3. If you get a referral from Company Nurse for medical treatment, contact Concentra to schedule an appointment. Once you have an       
               appointment contact Risk Manger so an authorization to treat can be submitted.


                                       Concentra, Santa Rosa
                                                  1221 N. Dutton Ave
                                                  Santa Rosa, CA 95401
                                                  (707) 543-8360
   
                                                 -Or-
                                                 Concentra Telemed
                                                 (Company Nurse will determine if this is appropriate and give  instructions should you choose this option)


                                                                            In case of an emergency:
                                                               Ukiah Valley Medical Center Emergency Room
                                                                                               275 Hospital Drive
                                                                                                 Ukiah, CA 95482
                                                                        Main Phone Number:  (707) 462-3111

         4. The medical facility will provide you with a doctor’s note, “Work Status “, or ER Discharge papers after initial visit. You must
              bring medical paper work to the Risk Manager at the District Service Center on the same day as your medical appointment.
              Do not use District Mail.

                                               o The Risk Manager will provide you with an Employee Claim Form(DWC-1), Workers’ Compensation Temporary
                                                   Prescription ID Card,
and PRIME ‘Important Information about Medical care if you have a Work-Related Injury or

                                                   Illness” after you have seen a medical provider.
​

                                               o The Risk Manager will coordinate with you and your Site Supervisor to determine whether UUSD can accommodate
                                                   your restrictions
, if any are given.

                                               o If you have restrictions or have been put off work, your Return to Work must be approved by the Risk Manager or
                                                  an Interactive meeting PRIOR to your return to work.

                                              o Employee will need to bring any/all Work Status notes the same day as the follow up appointment to the Risk
                                                  Manager at the District Service Center.

                                             o Employee may be assigned Work Safety Video(s) to view through their Keenan Safe Schools account.

                                             o Employee and Risk Manager will communicate/work together to return employee to pre-injury health status.


                                                                              Contact the Risk Manager with any questions

                                                              • klarkin@uusd.net • (p) 707-472-5014 • (f) 707-468-3454 •

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