Nurse Case Manager Workers Comp.
In workers compensation, nurse case managers have become very important nowadays as a result of their skills and their help, and it is, therefore, good to hire one who will help you both legally and in medical situations. Legally they are concerned with patients available services and rights, and on the medical side they ensure that the patient receives the best care.
One the role is the one of making sure that they maintain a good balance between the best outcomes of the employer and the best medical care of the injure workers. They also ensure that the injured worker obtains the type of medical care that he or she needs and this is because they can obtain the more detailed and accurate information about the treatment strategy from the physician.
Nurse case managers also work tirelessly to bring a liaison between involved parties in the claim of compensation by the worker for example between the doctor and the injured worker. It is the role of the nurse case manager to give information to the insurance adjuster about the authorization of treatment and the doctor visits. Another role of nurse case manager in workers compensation that is very vital is making sure that there is accurate communication between the treating physician and the patient.
A nurse case manager in workers compensation is also supposed to make sure that the medication and medical care is going on effectively and he or she should also identify any challenges that are arising from the care and ensure that he or she raises concerns if the care is not appropriate and also take action to makes this right in order for the patient to get the best medical care. A nurse case manager is also helpful and valuable for you to have as he ensures that the doctor appointments are enhanced by attending the appointments and also keeps a good eye on things during treatment to make sure that everything works well.
There is a limit to representing the injured worker to the insurer and here is where the nurse case manager is not allowed to act as an advocate for the injured worker during the negotiations for a good insurance settlement and also he or she is prohibited from investigating the insurance company in any way. A nurse case manager also assist in enhancing the patients outcome and this is by deciding the type of treatment that will help the patient cope with their new stage of life and also trying to enhance their current state.