any reasons compel employers to provide work for injured or disabled employees. Employers want to reduce workers' compensation costs. Because wage costs account for 60% to 70% of total compensation costs, keeping injured employees working is an important cost reduction strategy (The Case Manager, 1994). Employers are also concerned about Americans With Disabilities Act requirement s to accommodate qualified employees with disabilities (McMichael, 1996). Additionally, some employers provide 24 hour coverage for employees and are equally concerned with the costs of wage payments for non-work related conditions. For these and other reasons, employers are increasingly open to instituting policies of providing work to injured or disabled employees during their recovery (Dent, 1990). Often, the occupational health nurse is a key participant in this process (Gliniecki, 1985). The occupational health nurse may be the leader or agent "selling" the concepts, as well as directing the program. Yet, despite these reasons and expressed management commitment, the occupational health nurse often finds actual program implementation challenging and difficult. The program implementation is complex, requiring a great deal of effort. This article describes issues related to program development, expected obstacles, and how to overcome them.