Despite the increase in multidisciplinary research around return to work, overall work disability rates show little change and costs continue to rise. A recent study determined that a multifaceted case management intervention was effective in reducing workers compensation claim costs and days lost from work in the state of Victoria, Australia. This intervention was based on principles of commencing management early, providing high-level medical care, minimizing delays with good case management, enhancing communication and intervention at the workplace. This discussion paper outlines some of the evidence behind different facets of the intervention and describes how each principle was applied in practice. Suggestions are made about how physiotherapists can use this evidence to guide their own practice.