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Medical monitoring programs apply to job applicants or employees who are at risk of exposure to hazardous conditions or substances. We take our role in this protection process seriously. The Medical Exams & Travel team is dedicated to making sure exams and results are handled in an accurate, timely and secure way.

Results from baseline and periodic exams provide comparisons to help identify and manage exposure risks before they result in injury or illness. A change in health status provides the information needed to develop workplace protections and targeted medical interventions.

Examples of Medical Exams & Travel capabilities include:

WorkCare uses a network of more than 4,500 qualified clinics in the U.S. and additional selected international locations. Required exams and lab work are scheduled at a time and place that is convenient for the employee.

Results are reviewed by our occupational medicine physicians, who are familiar with site-specific hazards and trained in toxicology, epidemiology and related clinical areas.


We offer the assurance of compliance with applicable regulations and industry standards. With WorkCare acting as their surveillance “back office,” our clients are able to confidently redeploy staff to other essential environment, health and safety activities.

Employers who contract with WorkCare avoid unnecessary testing and hiring delays, and they don’t have to worry about being fined for overlooking essential exam components.

Our consolidated pricing model offers transparency to clients.


A First-Class Journey

TravelCare is a department within WorkCare’s Medical Exams & Travel division that is dedicated to protecting employees from exposures to potential health hazards wherever their job takes them.

TravelCare services include:
  • Pre-departure consultations/screenings
  • Medical exam scheduling with qualified providers
  • Blood tests required for certain destinations
  • Collecting and recording medical exam results
  • Immunizations and medications
  • Issuance of international vaccination certificates
  • Notice of epidemics, disease outbreaks and other exposure risks
  • In-country medical and governmental contact information
  • Assistance in the event of an emergency
Immunizations and Medications

Travelers may obtain immunizations against diseases including influenza, hepatitis A and B, typhoid, meningitis, rabies and, as available, yellow fever. Medications may be prescribed for the prevention of malaria and as a precaution in the event of intestinal complaints.

We offer a holistic approach to personalized care. Whether a trip involves one or
hundreds of employees, we are skilled at:

With consolidated billing, we make it easy for TravelCare clients to track activity and the return on their investment in employee health and safety.

The facility I went to was heads above any other facility I have gone to in the past.
Each person I interacted with was knowledgeable, caring and very adept at their specific job.
Holland America Employee

Workplace Drug & Alcohol Programs

WorkCare supports clients with drug-free workplace programs and other drug-and-alcohol testing needs.

Comprehensive, efficiently managed screening programs help:

  • Enhance employee morale and productivity
  • Lower rates of work absence, accidents, turnover and theft
  • Improve workforce and individual health status
  • Decrease use of medical services and benefits
  • Qualify employers for insurance incentives

FAQ: Managing Drug-and-Alcohol Screening Programs

Account Management

Our Medical Exams and Travel division has a dedicated drug-and-alcohol testing team that learns about each client’s specific testing requirements. We assist with customized program facilitation and act as an employer’s administrative back office by:

  • Scheduling drug screen appointments
  • Reporting and recording results
  • Providing employee clearance notifications
  • Consolidating pricing and billing
  • Overseeing testing consortia and random pools
  • Facilitating Medical Review Officer (MRO) review of results and donor follow-up
Types of Screening

Yes. We have experience managing urine, hair, oral-fluid and breath-alcohol tests under the following circumstances and as applicable to the type of screen being performed:

  • Rapid
  • Pre-Placement/Post-Offer
  • Department of Transportation (DOT) and non-DOT panels
  • Post-Accident
  • Reasonable Suspicion
  • For Cause
  • Return to Duty
  • Follow-Up
  • Company-specific or regulated random

During business hours, we refer job applicants and employees to the client’s preferred collection site, or if there is no preference stated, a conveniently located facility. Alternatively, an onsite clinic (as available) or local collector with an in-house laboratory may be utilized. Collection sites are required to use approved testing kits containing chain-of-custody collection forms and instructions for completing the collection process.

We understand that an employer may occasionally have a need for after-hours drug screening. A timely response largely depends on the location and circumstances. On request, we are prepared to assist clients with managing possible solutions such as:

  • Requiring certain employees to carry cab packs (portable, sealed collection kits)
  • Using third-party or company personnel who are qualified to perform onsite collections
  • Identifying nearby specimen collection locations with extended or 24-hour services

During business hours, we refer job applicants and employees to the client’s preferred collection site, or if there is no preference stated, a conveniently located facility. Alternatively, an onsite clinic (as available) or local collector with an in-house laboratory may be utilized. Collection sites are required to use approved testing kits containing chain-of-custody collection forms and instructions for completing the collection process.

Specimen Handling

On the day of collection, specimens are shipped via a secure delivery method to a Substance Abuse and Mental Health Services Administration (SAMSHA)-certified lab under contract with WorkCare.

Results Reporting and Security

Test results are confidentially reported to a designated company representative. Negative results typically are available within 24 hours of lab receipt of the specimen. Non-negative results are usually available within 24 to 48 hours of receipt. Final confirmation is generally available within three days.

We use specialized software to generate reports, track results and as requested by the client, randomly select employees for testing. WorkCare is fully compliant with random-selection, donor privacy and IT security rules.

Medical Review Officer (MRO)

Yes. A qualified WorkCare physician may act as the client’s MRO. All positive drug screens are reviewed in accordance with best practice and DOT guidelines. Information obtained by the MRO is entered into and stored in WorkCare’s secure database.

The MRO:

  • Reviews and interprets each confirmed positive test result received from the lab
  • Notifies the specimen donor of a confirmed positive test result
  • Provides an opportunity for the donor to discuss the results

We assist clients with developing and implementing drug-free workplace policies. We help establish programs that comply with DOT rules and regulations, the Americans with Disabilities Act, and other applicable federal and state laws. We also provide guidance on written policy, prevention programs and training for management on recognizing and responding to signs of impairment. We work with a third-party company that provides Substance Abuse Professional guidance on counseling and follow-up testing in accordance with a client’s protocol.


WorkCare offers national consolidated pricing so our clients can take advantage of related savings. Pricing is based on a national average of clinic, laboratory and vendor costs. Our fees cover all administrative and MRO services.

Service Integration

Our customized, integrated solutions are designed to help clients manage all aspects of workforce health. For example, for clients with an onsite clinic managed by WorkCare, our onsite personnel can collect specimens and send them one of our contracted labs. For clients enrolled in Incident Intervention, our 24/7 telephonic injury management program, a WorkCare nurse or physician can help facilitate testing or provide clinical oversight in the event a cab pack is being used.

Incident Intervention is WorkCare’s 24/7 telehealth triage program for the management of work-related injuries, illnesses and physical discomfort. Our occupational health nurses and physicians are always on call to assess symptoms and provide compassionate care guidance with minimal disruption in workflow.

“When we keep it simple and do what’s right for the employee, all the other benefits of our Incident Intervention program naturally fall into place.”

Peter P. Greaney, M.D
Executive Chairman and Chief Medical Officer, WorkCare

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