Injury management consultants

Injury management consultants work in the NSW workers compensation system. They are facilitators who help overcome complex return to work and injury management barriers in order to achieve the best possible outcome for workers.

COVID-19 update: SIRA has introduced a number of changes to help medical, allied health practitioners and injured people during the COVID-19 pandemic. These include:

  • Telehealth services so that treatment consultations can occur via video or over the telephone
  • Find out more information about the changes to certification for workers compensation.
  • Updated our Fees Orders and Workers compensation guidelines to remove the requirement for insurer pre-approval for many  treatment services delivered by telehealth.

In brief

The role of the injury management consultant is different from that of the independent medical examiner.

Injury management consultants are SIRA-approved registered medical practitioners (doctors) experienced in occupational injury and workplace-based rehabilitation. An injury management consultant helps the nominated treating doctor, worker, insurer, employer and other service providers to progress a worker's recovery at/return to work and optimise health and work outcomes.

A referral to an injury management consultant may occur when a worker has been identified at risk of delayed recovery, a specific return to work or injury management issue has been identified or referral has been requested by the worker, employer, nominated treating doctor or other treating practitioner.

The SIRA injury management consultant referral form has been developed to promote appropriate information being provided in the referral.

An injury management consultant assesses the situation, examines the worker (if necessary) and discusses possible solutions with all parties. The IMC mediates with parties to seek agreement on actions and outcomes. Injury management consultants are not responsible for directing treatment of a worker, though they may comment on treatment in respect to recovery at/return to work.

An injury management consultant functions do not include:

  • an opinion on causation or liability
  • undertaking a functional capacity evaluation or work capacity assessment for the insurer.

Forms you might need

Publications you might need

Fees and invoicing

The fees set out the maximum fees for for injury management consultants.

All fees you can charge are listed in the relevant fee order below:

Historical health-related fees

These are the historical health related fees and rates orders.

What your invoices will need to include

    • worker's first and last name, and claim number
    • payee details
    • ABN
    • name of the medical practitioner or service provider who provided the service
    • SIRA workers compensation approval number or medical practitioner's Health Insurance Commission provider number (where applicable)
    • date of service
    • SIRA workers compensation payment classification code or AMA item number where applicable. Refer to the technical manual for further information:
      • self and specialised insurers, or
      • nominal insurer
    • service cost for each SIRA workers compensation payment classification code or AMA item number and service duration (if applicable)
    • date of invoice (must be on the day of or after last date of service listed on the invoice)

    To prevent delays in payment, these details will need to be provided on all invoices.

Becoming an approved injury management consultant

In order to become an IMC you are required to be a medical practitioner, meet certain eligibility criteria and apply to SIRA for approval.

The IMC approval and regulatory framework provides important information about the approval and regulatory framework for IMCs.

You can apply to SIRA using the application form. [Note: we recommend saving a copy of the form to your desktop or laptop prior to completing the application form].

For further information email or telephone 1300 656 919.