Fairfax Co. School Board v. Lonnie M. Wright ( 1997 )


Menu:
  •                     COURT OF APPEALS OF VIRGINIA
    Present: Judges Willis, Bray and Senior Judge Hodges
    Argued by Teleconference
    FAIRFAX COUNTY SCHOOL BOARD
    MEMORANDUM OPINION * BY
    v.         Record No. 1903-96-4      JUDGE JERE M. H. WILLIS, JR.
    APRIL 15, 1997
    LONNIE M. WRIGHT
    FROM THE VIRGINIA WORKERS' COMPENSATION COMMISSION
    Michael N. Salveson (Hunton & Williams, on
    briefs), for appellant.
    Robert O. Goff for appellee.
    On appeal from a decision of the Workers' Compensation
    Commission reinstating benefits to Lonnie M. Wright, Fairfax
    County School Board (Fairfax) contends that the commission erred
    in determining that employment leads and other vocational
    assistance offered to Wright did not constitute "vocational
    rehabilitation efforts," the refusal of which would justify
    suspension of compensation.   We reverse and remand.
    The commission's decision was based upon Code § 65.2-603
    which provides in relevant part that:
    A. 3. The employer shall also furnish . . .
    reasonable and necessary vocational
    rehabilitation services. Vocational
    rehabilitation services may include
    vocational evaluation, counseling, job
    coaching, job development, job placement,
    on-the-job training, education and
    retraining, and shall be provided by a
    certified rehabilitation provider . . . .
    Such services shall take into account the
    *
    Pursuant to Code § 17-116.010 this opinion is not
    designated for publication.
    employee's preinjury job and wage
    classifications; his age, aptitude and level
    of education; the likelihood of success in
    the new vocation; and the relative costs and
    benefits to be derived from such services.
    B. The unjustified refusal of the employee
    to accept such . . . vocational
    rehabilitation services when provided by
    the employer shall bar the employee from
    further compensation until such refusal
    ceases . . . .
    I.
    Fairfax employed Wright as a delivery truck driver for over
    twenty years.   On April 22, 1991, Wright injured his back while
    working.   Following surgery in July, 1991, he returned to work
    but re-injured his back.    Fairfax accepted Wright's claim, and
    provided him compensation pursuant to an award for temporary
    total disability.
    On February 14, 1995, Dr. Stephen Sirota examined Wright.
    He reported that Wright opposed lumbar epidural injections or
    further surgery.    Dr. Sirota stated that: "Unfortunately, in his
    present condition I do not feel that he can do any meaningful
    physical labor and probably would not be able to tolerate even a
    full time sedentary job."
    On April 6, 1995, Dr. Ronald Childs released Wright to work
    four hours per day for one month, followed by full time sedentary
    work with no lifting over twenty pounds.   On April 27, 1995, Dr.
    Sirota released Wright for "light sedentary work," under the same
    conditions set by Dr. Childs.
    On July 28, 1995, Dr. Sirota reported that Wright slept with
    - 2 -
    difficulty, could sit for only fifteen minutes, and could walk
    only one or two blocks.
    On August 14, 1995, Dr. Katherine Maurath examined Wright
    and reported that he was "unable to do any physical work at this
    time."   Dr. Maurath concluded that:
    4. Given his inability to read and physical
    disability, I would recommend that this
    patient be considered for retirement on
    medical disability. He is unable to do the
    job for which he was hired and cannot, in his
    current state, be replaced in a sedentary
    position because of his inability to read.
    On November 27, 1995, Dr. Thomas Schuler released Wright to
    work four hours per day, with one hour standing, one hour
    walking, and two hours sitting.   He restricted Wright from
    lifting more than fifteen pounds, bending, climbing, kneeling,
    twisting, squatting, pushing, or pulling.   On December 20, 1995,
    Dr. Schuler noted that Wright was "still having pain."
    On January 19, 1996, Dr. Maurath reexamined Wright and
    imposed the following restrictions:
    1. Sedentary work is recommended for this
    patient with frequent allowance for position
    changes. He should not lift any object
    heavier than 2 lbs. He is not permitted to
    bend. Essentially, he is restricted to
    sedentary work, however, the patient is
    functionally illiterate, so any work
    involving written or reading materials is not
    possible for him. It would appear to me that
    he is permanently and totally disabled
    secondary to a combination of his lumbar
    pathology and his limited educational level
    and reading skills.
    Dr. Maurath based her opinion concerning Wright's literacy upon
    - 3 -
    his eighth grade level of education, discussions with Mr. and
    Mrs. Wright, and her "extensive experience with work related
    rehabilitation efforts" as a physiatrist.
    II.
    In February, 1995, Maria Raimundi, a case manager for CRA
    Managed Care, Inc., began trying to help Wright find suitable
    employment.   She met with Drs. Childs and Sirota to determine
    Wright's physical abilities, and later received a physical
    capacity evaluation form from Dr. Schuler.     Ms. Raimundi stated
    that she did not review Dr. Maurath's reports.
    Starting in June, 1995, Ms. Raimundi met weekly with Wright.
    She referred to the Dictionary of Occupational Titles to
    determine what jobs were suitable for him and presented him with
    a list of approximately ninety leads.     This list consisted
    primarily of driver/delivery jobs.      She testified that Wright
    applied to two jobs only because he felt that he was incapable of
    meeting the physical and intellectual requirements.     Ms. Raimundi
    neither contacted the proposed employers regarding the specific
    requirements of the positions, nor provided Wright's physicians
    with job descriptions.
    Ms. Raimundi testified that she was unable to obtain an
    objective appraisal of Wright's literacy, but was aware that he
    had completed the eighth grade.    She offered to assist him in
    filling out applications and provided him with information
    regarding continuing his education.
    - 4 -
    III.
    Fairfax contends that the commission erred in refusing to
    suspend Wright's benefits because he failed to cooperate with
    vocational rehabilitation efforts, pursuant to Code § 65.2-603.
    Fairfax argues that the "reasonableness and necessity" of the
    vocational rehabilitation services provided to Wright raises a
    mixed question of law and fact, and that we should review the
    commission's opinion de novo.    Cf. City of Salem v. Colegrove,
    
    228 Va. 290
    , 293, 
    321 S.E.2d 654
    , 656 (1984).    This argument is
    without merit.   No doubt, the employer's job placement program
    constitutes "reasonable and necessary" vocational rehabilitation
    efforts under Code § 65.2-603.    However, that is not the issue
    before us.    Rather, the question presented here is whether
    credible evidence in the record supports the commission's finding
    that the employer failed to establish that Wright unjustifiably
    refused vocational rehabilitation services.
    On appeal, we view the evidence in the light most favorable
    to the party prevailing below.    Crisp v. Brown's Tysons Corner
    Dodge, Inc., 
    1 Va. App. 503
    , 504, 
    339 S.E.2d 196
    , 196 (1986).
    The findings of the commission, if based upon credible evidence,
    are conclusive and binding on this Court.     Morris v. Badger
    Powhatan/Figgie Int'l, Inc., 
    3 Va. App. 276
    , 279, 
    348 S.E.2d 876
    ,
    877 (1986).
    First, we reject Wright's assertion that no vocational
    rehabilitation services were provided.   Code § 65.2-603 requires
    - 5 -
    that vocational rehabilitation services "shall be provided by a
    certified rehabilitation provider."     See Code §§ 54.1-3510 et
    seq. (governing certification of rehabilitation providers).
    Wright contends that because the record does not establish that
    Ms. Raimundi was certified, he did not receive "vocational
    rehabilitation services."   This issue was not presented to the
    commission.   Therefore, we will not consider it for the first
    time on appeal.   Rule 5A:18.
    Second, Fairfax contends that it provided Wright numerous
    job leads that were clearly within his physical and mental
    capabilities, and that he unjustifiably refused to pursue new
    employment.   The commission held that Wright's failure to pursue
    the job leads did not justify suspending his benefits because the
    rehabilitation consultant had failed "to directly contact
    employers to determine whether the claimant's physical
    restrictions or illiteracy would be obstacles to his performance
    of these jobs."
    An employer who contends that a claimant has failed to
    cooperate with job placement services bears the initial burden of
    proving that the job leads provided were appropriate to the
    claimant's residual capacity.   Thus, where prior medical approval
    is not secured for a prospective job, the employer must
    demonstrate that the job "obviously" fits within the limitations
    provided by the claimant's physician.     See Talley v. Goodwin
    Brothers, 
    224 Va. 48
    , 52, 
    294 S.E.2d 818
    , 820-21 (1982).
    - 6 -
    Consultation with a claimant's physicians, review of past
    job experience and education, and consideration of the claimant's
    mental and physical capabilities are all essential to securing
    employment.   Code § 65.2-603 seeks relief for the employer from
    the payment of benefits and of the claimant's successful reentry
    into the work force as a productive member of society.     See
    Colegrove, 228 Va. at 294, 321 S.E.2d at 656.
    These twin goals are underscored by a balancing of
    interests.    The employer's justified desire for the claimant's
    reemployment and the health, welfare and dignity of a claimant
    remain equally important.   Prior medical approval, detailed job
    descriptions specifying the mental and physical requirements of a
    position, and direct contact with prospective employers to
    confirm the availability of jobs and their suitability to the
    individual claimant constitute acceptable methods by which a
    vocational consultant may purge inappropriate job leads.    This
    enables the claimant to avoid futile pursuit of unsuitable
    employment and prevents lengthening of the period in which the
    employer remains liable to the claimant for benefits.
    In this case, the vocational consultant neither obtained
    medical approval for the job leads, nor contacted the prospective
    employers to determine their expectations of an employee.
    Moreover, she did not furnish Wright with descriptions of the job
    performance requirements.   While many of the positions appeared
    similar to Mr. Wright's previously held job, the lack of
    - 7 -
    meaningful information in the record regarding the physical and
    mental requirements for the positions renders us unable to
    conclude that the jobs were "obviously" compatible with Wright's
    severe physical restrictions.
    Fairfax argues that because it made job leads available to
    Wright and he failed to pursue them, he must prove that his
    failure to pursue the leads was justified.   That analysis does
    not apply here.   See Ellerson v. W.O. Grubb Steel Erection Co., 
    1 Va. App. 97
    , 98, 
    335 S.E.2d 379
    , 380 (1985).   An employer
    contending that a claimant unjustifiably refused job placement
    efforts must prove that the job leads were bona fide.     Bona fide
    job leads consist of available employment positions reasonably
    compatible with the claimant's capacities.   As we noted above, it
    is not obvious that the job leads were bona fide.     Thus, the
    commission's findings were supported by credible evidence.
    Third, Fairfax contends that Wright unjustifiably failed to
    cooperate with efforts to evaluate and, if necessary, to improve
    his level of education.   Code § 65.2-603 rests upon a bedrock of
    cooperation, and a claimant must cooperate with reasonable and
    necessary efforts designed to achieve reemployment.     Johnson v.
    City of Clifton Forge, 
    9 Va. App. 376
    , 377, 
    388 S.E.2d 654
    , 655
    (1990).   Thus, concomitant with an employer's obligation to give
    assistance, stands the claimant's obligation to accept it.
    Ms. Raimundi testified that Wright refused to attempt
    remedial education and refused to be tested to determine his
    - 8 -
    suitability for such a remedial effort.    She testified that she
    suggested GED training, and that Wright told her that he was not
    interested.    She said she sought to have him tested to determine
    his suitability for remedial education, but he refused to take
    the test.     Justifying his refusal, Wright said:
    But I told her what is the use of me going to
    try to do that when I know myself my
    capabilities . . . what I could learn and
    what I can't learn. I'm 43 years old, and I
    been in, you know, 43 years old, and I
    haven't learned nothing yet. And I have my
    sisters and stuff. They try to help me and
    stuff. I already been through that. It's
    embarrassing, but . . . .
    The commission found that:
    At age 43, the claimant is certainly a
    candidate for vocational rehabilitation, and
    if illiteracy is an obstacle then this area
    should be addressed. However, we do not find
    that the vocational rehabilitation efforts in
    this case meet the Commission's criteria for
    suspending benefits.
    Cooperation suggests working with another for a common
    purpose.    Conversely, a failure to cooperate necessarily implies
    a refusal to work with another toward achieving the established
    goal.    The record establishes without question that Wright
    refused to make even a minimal effort toward investigating his
    suitability for remedial education and, through education,
    vocational rehabilitation.    Thus, the commission erred in finding
    that Fairfax had failed to prove that Wright unjustifiably
    refused reasonable vocational rehabilitation efforts.
    The judgment of the commission is reversed, and this case is
    - 9 -
    remanded to it for entry of an order suspending benefits so long
    as Wright continues without justification to reject reasonable
    vocational rehabilitation efforts.
    Reversed and remanded.
    - 10 -