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r <br />City of Santa Ana Response to Request for Proposal (RFP) Medical Services Review 2j9/15 <br />0, <br />alternate job, for which the employee is otherwise qualified (retains the necessary know led ee, skills and <br />abilities), exists and is presently vacant, allowing the employee to return to work with the City under a <br />newjob title. If ahernative job placement is not available, the client now has legalty defensible <br />documentation to justify that the proposed accommodations are unreasonable. Occu-Med's report (Med- <br />Legal Anal)sis) integrates the functional limitations of the employee and the legal and practical <br />ramifications regarding the agency's ability to accommodate the employee's restrictions or <br />the legally appropriate path for terminating the employee, Occu-Med considers all the relevant factors of <br />the case before rendering a medically appropriate and legalty defensible job suitability recommendation. <br />In cases where the employee is unresponsive to OCCn-Med's correspondence a report documenting the <br />attempts to contact the employee and the employee's failure to engage in the reasonable accommodation <br />process will be provided to the City. With the City's approval, a Notification of Medical Disqualification <br />(Failure to Engage in the Reasonable Accommodation Process) letter will be sent to explain to the <br />employee that his or her lack of response to the Individualized Assessment/Reasonable Accommodation <br />invitation constitutes his or her failure to engage in the reasonable accommodation process. This letter <br />may also be used in the case that the employee's medical condition is a contraindication to job placement <br />and no reasonable accommodation could be made. Occu-Med's IRTW Report and recommendation will <br />allow the City to make an informed, legally defensible decision as to whether or not an employee should <br />be returned to work. <br />E. Occu-VAX <br />Occu-VAX is the scheduling and coordination, immunization record management and the on-going <br />management of all immunization and chemoproplWasis treatments for applicants and employees forjobs. <br />This service includes an individualized evaluation of each applicant/ employee to assess the <br />appropriateness and necessity for administering the immunization and chemoprophylaxis treatments <br />outlined in the specific Oceu-VAX Profile prior to and, when appropriate, during employment. <br />Scheduling and Coordination: Upon completion of the medical evaluation or concurrentty by <br />requirement or request from a designated City employee, OCCU-Med will promptly contact applicants / <br />employees to: a) assess the appropriateness and necessity for receiving immunization and <br />chemoprophy iasis treatments, and b) schedule and coordinate the administration of those immunization <br />and chcmoprophy]axis treatments deemed appropriate and necessary prior to and during employment. <br />4p�1G Occu-Med <br />