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Medical Exam & Travel

Medical monitoring programs apply to job applicants or employees who are at risk of exposure to hazardous conditions or substances. We take our role in this protection process seriously. The Medical Exams & Travel team is dedicated to making sure exams and results are handled in an accurate, timely and secure way.

Results from baseline and periodic exams provide comparisons to help identify and manage exposure risks before they result in injury or illness. A change in health status provides the information needed to develop workplace protections and targeted medical interventions.

Our Medical Surveillance Team is Growing!

Medical Exams & Travel team growth allows us to broaden WorkCare’s outreach to companies and governmental entities in the U.S. and abroad.

In November 2022, we acquired Corporate Health Resources (CHR). Now operating as a WorkCare company, CHR continues to schedule appointments with qualified medical exam providers located within close proximity to job applicants and employees. CHR supports corporate medical department administrative functions and placement of consulting medical directors at companies that do not have onsite clinical staff. Other areas of expertise include tracking and verifying immunizations that employees need to access health care facilities and other institutions.

We purchased the occupational health assets of AllOne Health Resources in 2021. Since then, we have been integrating the best of AllOne into the WorkCare Way and facilitating client transitions to WorkCare operations. The asset purchase has been instrumental in WorkCare’s development of a new, state-of-the-art Medical Exams & Travel information management platform that will be launched soon. It has also created opportunities for international growth and the ability to offer even more robust drug and alcohol screening programs for regulated and unregulated industries.

Combined, we have 125 years of collective experience!

Solutions
Medical Exams & Travel capabilities include:

WorkCare uses a network of more than 5,700 qualified clinics in the U.S. and additional selected international locations. Required exams and lab work are scheduled at a time and place that is convenient for the employee.

Results are reviewed by our occupational medicine physicians, who are familiar with site-specific hazards and trained in toxicology, epidemiology and related clinical areas. Exam capabilities include audiometric, asbestos, bloodborne pathogens, commercial drivers, crane and forklift operators, hazwoper, heavy metals, respiratory/pulmonary function, silica and much more…

Value

Our board-certified occupational medicine physicians provide clinical oversight and consulting on workplace exposure hazards. We help employers avoid unnecessary tests and hiring delays while covering all essential exam components. We seamlessly manage “back-office” tasks so employers can focus on other critical environment, health and safety concerns.

We deploy state-of-the-art technology to ensure compliance with applicable regulations and industry standards. WorkCare supports two password-protected client portals – OnCourse and WorkMatters – and a proprietary information management platform to securely maintain confidential medical records and store information employers can legally use to make appropriate job placement decisions.

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“The facility I went to was heads above any other facility I have gone to in the past. Each person I interacted with was knowledgeable, caring and very adept at their specific job.” Holland America Employee

A First-Class Journey

TravelCare is a department within WorkCare’s Medical Exams & Travel division that is dedicated to protecting employees from exposures to potential health hazards wherever their job takes them.

TravelCare services include:
  • Pre-departure consultations/screenings
  • Medical exam scheduling with qualified providers
  • Blood tests required for certain destinations
  • Collecting and recording medical exam results
  • Immunizations and medications
  • Issuance of international vaccination certificates
  • Notice of epidemics, disease outbreaks and other exposure risks
  • In-country medical and governmental contact information
  • Assistance in the event of an emergency
Immunizations and Medications

Travelers may obtain immunizations against diseases including influenza, hepatitis A and B, typhoid, meningitis, rabies and, as available, yellow fever. Medications may be prescribed for the prevention of malaria and as a precaution in the event of intestinal complaints.

We offer a holistic approach to personalized care. Whether a trip involves one or hundreds of employees, we are skilled at:

With consolidated billing, we make it easy for TravelCare clients to track activity and the return on their investment in employee health and safety.

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Workplace Drug & Alcohol Programs

WorkCare supports clients with drug-free workplace programs and other drug-and-alcohol testing needs.
Comprehensive, efficiently managed screening programs help:

  • Enhance employee morale and productivity
  • Lower rates of work absence, accidents, turnover and theft
  • Improve workforce and individual health status
  • Decrease use of medical services and benefits
  • Qualify employers for insurance incentives
Types of Screening

Yes. We have experience managing urine, hair, oral-fluid and breath-alcohol tests under the following circumstances and as applicable to the type of screen being performed:

  • Rapid
  • Pre-Placement/Post-Offer
  • Department of Transportation (DOT) and non-DOT panels
  • Post-Accident
  • Reasonable Suspicion
  • For Cause
  • Return to Duty
  • Follow-Up
  • Company-specific or regulated random
Collections

During business hours, we refer job applicants and employees to the client’s preferred collection site, or if there is no preference stated, a conveniently located facility. Alternatively, an onsite clinic (as available) or local collector with an in-house laboratory may be utilized. Collection sites are required to use approved testing kits containing chain-of-custody collection forms and instructions for completing the collection process.

We understand that an employer may occasionally have a need for after-hours drug screening. A timely response largely depends on the location and circumstances. On request, we are prepared to assist clients with managing possible solutions such as:

  • Requiring certain employees to carry cab packs (portable, sealed collection kits)
  • Using third-party or company personnel who are qualified to perform onsite collections
  • Identifying nearby specimen collection locations with extended or 24-hour services

During business hours, we refer job applicants and employees to the client’s preferred collection site, or if there is no preference stated, a conveniently located facility. Alternatively, an onsite clinic (as available) or local collector with an in-house laboratory may be utilized. Collection sites are required to use approved testing kits containing chain-of-custody collection forms and instructions for completing the collection process.

Specimen Handling

On the day of collection, specimens are shipped via a secure delivery method to a Substance Abuse and Mental Health Services Administration (SAMSHA)-certified lab under contract with WorkCare.

Results Reporting and Security

Test results are confidentially reported to a designated company representative. Negative results typically are available within 24 hours of lab receipt of the specimen. Non-negative results are usually available within 24 to 48 hours of receipt. Final confirmation is generally available within three days.

We use specialized software to generate reports, track results and as requested by the client, randomly select employees for testing. WorkCare is fully compliant with random-selection, donor privacy and IT security rules.

Results Reporting and Security

Test results are confidentially reported to a designated company representative. Negative results typically are available within 24 hours of lab receipt of the specimen. Non-negative results are usually available within 24 to 48 hours of receipt. Final confirmation is generally available within three days.

We use specialized software to generate reports, track results and as requested by the client, randomly select employees for testing. WorkCare is fully compliant with random-selection, donor privacy and IT security rules.

Medical Review Officer (MRO)

Yes. A qualified WorkCare physician may act as the client’s MRO. All positive drug screens are reviewed in accordance with best practice and DOT guidelines. Information obtained by the MRO is entered into and stored in WorkCare’s secure database.

The MRO:

  • Reviews and interprets each confirmed positive test result received from the lab
  • Notifies the specimen donor of a confirmed positive test result
  • Provides an opportunity for the donor to discuss the results
Consultation

We assist clients with developing and implementing drug-free workplace policies. We help establish programs that comply with DOT rules and regulations, the Americans with Disabilities Act, and other applicable federal and state laws. We also provide guidance on written policy, prevention programs and training for management on recognizing and responding to signs of impairment. We work with a third-party company that provides Substance Abuse Professional guidance on counseling and follow-up testing in accordance with a client’s protocol.

Cost

WorkCare offers national consolidated pricing so our clients can take advantage of related savings. Pricing is based on a national average of clinic, laboratory and vendor costs. Our fees cover all administrative and MRO services.

Service Integration

Our customized, integrated solutions are designed to help clients manage all aspects of workforce health. For example, for clients with an onsite clinic managed by WorkCare, our onsite personnel can collect specimens and send them one of our contracted labs. For clients enrolled in Incident Intervention, our 24/7 telephonic injury management program, a WorkCare nurse or physician can help facilitate testing or provide clinical oversight in the event a cab pack is being used.

OGUK Exams

WorkCare provides competitively priced Oil and Gas United Kingdom (OGUK) exams for workers in offshore exploration, installation and production environments. OGUK represents producers and contractors in the global offshore wind energy and oil and gas industry in collaboration with the UK Offshore Operators Association (UKOOA). Exams are scheduled by appointment with qualified physicians at WorkCare’s occupational health clinic in Wilmington, MA, formerly operated by AllOne Health Resources. 

Meet Our OGUK-Certified Medical Examiners

Workers classified by Oil & Gas UK as offshore employees in the U.S. and abroad must be examined by a physician who has successfully completed a required training course to demonstrate competency in industry exposure hazards and medical evaluation components including:
  • Complete physical exam 
  • Comprehensive employee personal and occupational health history 
  • Height, weight and calculation of body mass index 
  • Visual acuity 
  • Color testing
  • Urinalysis
  • Audiogram
  • Spirometry 
  • ECG – depending on age and health history
  • Stress treadmill test – depending on age and health history 

Write to info@workcare.com to learn more.

Fitness for Work

Our work-fitness programs provide pre-placement and return-to-work fitness-for-duty, human performance and bio-ergonomic surveillance assessments to identify individual health exposure risks and ensure that employees can safely perform essential job functions. 

A fitness-for-duty assessment may include a review of medical history to identify health issues of concern and functional testing as part of a human performance evaluation. Bio-ergonomic surveillance using wearable technology may be used to identify an individual’s risk for overuse injury while doing routine tasks. We also identify physical and mental health conditions that could cause impairment and put the individual employee, co-workers, customers or the general public at risk. This may include the use of illicit or prescription drugs. 

Assessments are based on accurate, functional job descriptions. Our physicians oversee exam requirements, communicate with evaluating clinicians in our provider network, and provide guidance on return to work with or without job accommodations or temporary restrictions. Medical clearance letters are provided within five business days following a scheduled exam.

Virtual Exams

In some cases, medical monitoring exams may be performed virtually by a WorkCare occupational physician using a comprehensive online health questionnaire and telehealth employee interview when an in-person exam is not necessary. This is a cost-conscious alternative to in-person exams that require job candidates and employees to visit a local provider clinic. Such reviews are particularly effective for return-to-work evaluations following injury or illness, including medical clearance after recovery from COVID-19.

DOT Exams

In addition to managing drug screening for commercial drivers, we employ and refer to physicians who are certified by the Federal Motor Carrier Administration and registered to perform commercial driver medical exams. We are also prepared to assist independent drivers with their medical assessment needs. 

Background Checks

WorkCare facilitates access to background checks in collaboration with qualified partners. Background checks are recommended as an adjunct to drug screening and medical exams to vet candidates before they start work, improve retention and help reduce legal liability.