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Worker's Compensation
Employees who incur work related injuries or illnesses are eligible to receive medical treatment through the New Jersey Worker's Compensation Program. Under this program the employee's initial medical treatment is scheduled through the Office of Human Resources and coordinated by Horizon Casualty Services, a managed care service contracted by the state of New Jersey .
There are no out-of-pocket expenses for the medical services authorized by Horizon Casualty Services. Unauthorized medical expenses elected by the employee shall, however, become the sole responsibility of the employee. The procedures for obtaining treatment for work related injuries or illnesses are provided in the following section. It is important to read and follow the procedures as outlined to ensure prompt medical treatment.
Procedures for Receiving Treatment and Reporting Your Injury/Illness
Emergency Situations
When life or limb is threatened, seek care immediately. You should contact the Campus Police by dialing extension 911 from any campus phone or 609-771-2167 from any cell phone immediately. Campus Police will make all necessary arrangements for your emergency care.
You are responsible for reporting your injury to the Office of Human Resources and your supervisor as soon as possible. Call the Office of Human Resources at 771-3306 or 771-2283.
Non-Emergency Situations
Step 1: Report your injury or illness to your supervisor immediately. He/She will refer you to the Office of Human Resources. The phone number is 771-3306 or 771-2283.
Step 2: The Benefits Administrator in the Department of Human Resources will take an Initial Incident Report and report your injury to the Division of Risk Management. If you feel that you need medical treatment, you will be referred to a Worker's Compensation Primary Care Physician (PCP). You will also be given an Employer's First Report of Accidental Injury or Occupational Disease . It is very important that you and your supervisor complete the report and return it to the Office of Human Resources within 5 days of the injury.
Step 3: Visit your assigned Horizon Casualty Services PCP. Your PCP will carefully examine you and treat your injury/illness. The doctor will coordinate all the medical care associated with your condition. If necessary you will be referred by the PCP to a participating specialist.
Step 4: Following every doctor's visit, you are responsible for notifying the Office of Human Resources and your supervisor on the status of your condition. Each time you see your treating physician you will receive a Patient Treatment and Referral Form. This form should be submitted to the Office of Human Resources within 24 hours of receipt.
Step 5: A Horizon Casualty Services Case Manager will be assigned to you and will serve as your personal service representative. The Case Manager will contact you to address concerns regarding your medical care. They are also responsible for coordinating your treatment with the PCP and the Office of Human Resources to ensure your appropriate medical care and prompt return to work.
Step 6: When you are released from the PCP you must report to the Office of Human Resources before reporting to your work site. You are required to bring with you medical documentation from the PCP releasing you to return to work.
General Information
Your Personal Case Manager: In addition to a Worker's Compensation Primary Care Physician, injured employees are assigned a personal case manager. Each case manager is a Registered Nurse experienced in managing medical care and return-to-work plans for injured workers. They will serve as a personal service contact with Horizon Casualty Services to help facilitate your recovery. Your may contact your case manager with any questions at 1-800-985-7777.
Participating Pharmacies: Any medication prescribed by your PCP can be obtained at Blue Cross Blue Shield member pharmacies throughout the state. More than 98 percent of New Jersey pharmacies are in the network.
Personal Identification Card: A Worker's Compensation identification card will be completed and issued to you by the Office of Human Resources. This identification card must be presented when you obtain medical services or prescription drugs in connection with a job-related injury or illness. You are the only person authorized to use the ID card. Please keep it with you at all times.
Questions and Concerns
Questions regarding any aspect of TCNJ's Worker's Compensation Program may be directed to the Office of Human Resources at 609-771-3306. You may also contact a Horizon Casualty Services representative at 1-800-985-7777 or the State of New Jersey Division of Risk Management at 609-292-3475.
