FABE, Justice.
After a work-related injury left a nurse with a permanent partial impairment, she applied for reemployment benefits. The rehabilitation
Laurie Vandenberg injured her right shoulder when she reached for her laptop computer and "paperwork bag" while working for the State, Department of Health & Social Services (DHSS) as a Nurse II. Because Vandenberg missed more than 90 consecutive days of work, her employer notified the Rehabilitation Benefits Administrator (Administrator), who assigned an independent rehabilitation specialist, Lulie Williams, to perform Vandenberg's reemployment benefits eligibility evaluation.
To make an eligibility determination, Williams looked at the job Vandenberg held at the time of her injury, as well as jobs she held in the ten years before the injury, as the statute required.
Based on the information Williams received, she decided that no single job in the Selected Characteristics of Occupations Defined in the Revised Dictionary of Occupational Titles (SCO) matched the Surveyor position.
Williams sent these job descriptions, along with several others, to Vandenberg's doctor, who predicted that Vandenberg would not have the physical capacity to perform the medium-strength Nurse, General Duty position; he thought she would have the capacity to perform the sedentary physical demands
Helgeson disagreed with Williams's conclusion that Inspector, Health Care Facilities was not, by itself, an adequate description of the job duties (as opposed to the qualifications) of the Surveyor position. She instructed Williams to "[a]pportion the time the employee spent performing the duties for each job title identified if multiple titles are used." In response, Williams explained the reasons she selected the job descriptions and reported that she did not think it would "add anything important to the report" to apportion time between different job titles.
Helgeson rejected Williams's rationale for including the Nurse, General Duty job description to complete the Surveyor job description, expressing her understanding that "titles are not selected based on the strength demands but rather on the duties the employee performed." Based on Konecky v. Camco Wireline, Inc.,
Helgeson instructed Williams to "[c]onduct labor market research to document whether or not the job for a Health Facilities Inspector exists in the labor market." Williams did so, concluding that jobs for Inspector, Health Care Facilities do exist. Helgeson then determined Vandenberg was not eligible for reemployment benefits because of her decision that only the Inspector, Health Care Facilities job description was needed to describe the Surveyor position; the doctor's prediction that Vandenberg could perform the physical demands of that job description; and the existence of Inspector, Health Care Facilities jobs in the labor market.
Vandenberg appealed the denial to the Board, which held a hearing on her reemployment benefits eligibility.
Williams agreed that Vandenberg met the strength requirements for the Inspector position in the Dictionary. She also agreed that "[t]he position of health facilities surveyor does not require the employee to perform the functions of a nurse," but she thought there was a difference between a nurse observing medication administration and a person who was not trained as a nurse doing so. On cross-examination Williams reaffirmed her opinion that the two job descriptions required different levels of professional knowledge. She testified that rehabilitation specialists "don't just look at the duties" when they pick job descriptions to match an employee's job.
Vandenberg testified about her job as a Surveyor. She explained that being a nurse "was the only way [she] got that job." She testified that her duties included looking at wounds, checking medications, and doing "[a] lot of chart review"; she also reported that in extreme situations, a Surveyor and her team could take over a facility, thereby taking on a nurse's role because the team would "excuse everybody from their duties" and "get them out of the facility," with the State assuming management of the facility for a period of time. Alternatively, in those situations the team could "move all the patients or clients out" of the facility. In describing why she could no longer perform the functions of the Surveyor job, Vandenberg testified that she could no longer "carry that weight limit" and that "if [she] were around clients or patients and something happened to one of them," she might not be able to help them because of her injury.
In its decision the Board agreed with Vandenberg that Helgeson had abused her discretion by exceeding her authority under applicable Board regulations.
The Board then construed the statute and this court's decisions interpreting section.041. It concluded that inclusion of the Nurse, General Duty job description was contrary to Konecky because under Konecky, the Board reasoned, "an employee's physical capacities must be compared to the physical demands of the [Dictionary] job description, not the employee's actual job." The Board also construed the statute as disregarding the vocational-preparation
Vandenberg appealed to the Commission, which affirmed the Board's decision. The Commission began its analysis by representing that 8 AAC 45.525(b)(2) directs the rehabilitation specialist to select the most appropriate job title or titles for an employee's job from the Dictionary.
Vandenberg appeals.
In an appeal from the Alaska Workers' Compensation Appeals Commission, we review the Commission's decision rather than the Board's.
By statute the Board reviews the Administrator's decisions for an abuse of discretion.
Alaska Statute 23.30.041 sets out the process and qualifications for reemployment benefits; for purposes of this appeal, the relevant subsection is .041(e), which provides:
The Board has promulgated regulations related to the reemployment process; the most salient here is 8 AAC 45.525, which sets out the reemployment benefits eligibility evaluation process. To determine eligibility, rehabilitation specialists must "interview the employee and the employer and review all written job descriptions" that describe the employee's job at the time of injury; interview the employee to "obtain descriptions of the tasks and duties for other jobs the employee held ... within 10 years before the injury"; review the correct version of the SCO and "select the most appropriate job title or titles that describe the employee's job"; for past jobs, "identify all [relevant] job titles ... for which the employee meets the specific vocational preparation codes"; and submit identified job titles to the employee's physician, the employee, the employer, and the Administrator.
Reemployment benefits are intended to return an injured worker to remunerative employment when she cannot return to her former job or jobs for which she has the relevant training or experience.
Vandenberg disputes whether the job title Helgeson and the Board used adequately describes her position as a Health Facilities Surveyor. She contends that the job description identified — Inspector, Health Care Facilities — is not equivalent to the description of the Surveyor job she actually held, in part because her job as a Surveyor required different educational and skill levels than the Inspector, Health Care Facilities job. She also argues that her duties as a Surveyor required application of her professional knowledge, making the Dictionary job title inadequate to describe her former job.
We agree with Vandenberg that the two positions are significantly different. As set out in the Board's decision, an Inspector, Health Care Facilities "[i]nspects health care facilities ... to enforce public health laws and to investigate complaints." (Emphasis added.) In contrast, a Health Facilities Surveyor "appl[ies] professional knowledge and expertise ... to analyze and assess the activities in the facility." (Emphasis added.) Inspecting physical facilities and analyzing the delivery of health care are very different activities that require different education and training. Indeed Vandenberg testified that her job included medical chart review as well as "looking at the patients, watching medications, [and] checking wounds." She added that as a Surveyor, she observed "the nurses and the nurses aid[e]s" as well as patients when fulfilling her inspection duties. Vandenberg's testimony that DHSS "always [had] to have somebody who's a lab person or they have to contract that out" underscores the need for specific professional training for the Surveyor position.
Nothing in the Inspector, Health Care Facilities job description indicates that professional expertise or training in health care or nursing is required for that position, nor does the Inspector, Health Care Facilities description require analysis of the performance of medical procedures. The position as set out in the Dictionary emphasizes inspection of facilities and reviewing reports related to "staffing, personal references, floor plans, fire inspections, and sanitation." Finally, nothing in the Inspector, Health Care Facilities job description indicates that a person with that job would ever have to take care of patients, as a Surveyor might if a team deemed it necessary to shut down a facility. As Williams testified at the hearing, the SCO assigns a lower vocational-educational code to Inspector, Health Care Facilities than to Nurse, General Duty; she justified her inclusion of the Nurse, General Duty job description as necessary to capture the professional background as well as the strength requirements for the Surveyor position. Based on our review of the record and the Board's findings, we agree with Vandenberg that substantial evidence does not support the Board's decision that the Inspector, Health Care Facilities job in the Dictionary was sufficient by itself to describe the Surveyor position.
While the Commission applied the substantial evidence standard in this case, underlying both its decision and that of the Board is a legal interpretation of AS 23.30.041(e) and its implementing regulations as prohibiting consideration of physical and vocational factors when selecting job titles. We do not read these authorities so narrowly.
The Board's regulations require a rehabilitation specialist to gather information about both the "tasks" and the "duties" of a job before consulting the relevant edition of the SCO to select an appropriate job description.
After the rehabilitation specialist obtains the necessary information about both tasks and duties, the regulation instructs the specialist to use the correct edition of the SCO to "select the most appropriate job title or titles that describe the jobs held and training received."
We disagree with the Commission's decision that educational or professional requirements should only be considered if "a licensing requirement has a physical demands component." Education is a component of the vocational-preparation categorization in the SCO and consequently of the classification of job titles there; on a practical level, a nursing job cannot be filled by someone without the required education or professional training. Additionally, AS 23.30.041(e) and the Board's regulations interpreting the statute both mandate inclusion of jobs for which an employee has received training, not just jobs an employee has actually held.
For the foregoing reasons, we REVERSE the Commission's decision and REMAND for further proceedings consistent with this opinion.
STOWERS, Chief Justice, not participating.