Role Of Nurse Case Manager In Workers Compensation.
Hiring of a nurse case manager in workers compensation is so helpful and this is because of their skills and the help that they offer to you during injury claims in both legal fields and medical fields ensuring that you are well represented. On the medical field they take care of the patient to make sure that he or she receives the best medical care and in the legal field they involve themselves in the rights of the patient and the available services.
The number one role of the nurse case manager workers compensation is to ensure that he or-or she maintains a good balance between the best medical care of the patient and the best outcome of the employer. 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. Another role is that they make sure that the insurance adjuster gets the information about the treatment authorization and the doctors visit. They should also work to ensure that the communication between the patient and the treating physician is accurate and free.
A major function of a nurse case manager in a worker compensation is to make sure that the process of medical care is going on as planned and also identify any arising challenges if there is any and he or she should raise concerns about such challenges and take a legal action to make sure the patient receives the best possible treatment. Another great help that a nurse case manager offers is making sure that he or she attends the doctors appointments for the patient and ensure that they are improved by advocating for good care, and apart from this he or she also keeps a good eye on the things that happen during the treatment to make sure that everything is going on well as planned.
A nurse case manager is not allowed in any way to act as an advocate for the injured worker for the best insurance settlement when it comes to the negotiations and he or she is not supposed to investigate the insurer in any way. There is also another very beneficial role that the nurse case manager plays in the worker compensation and this is working to improve the patient’s outcome and he or she achieves this by designing the type of medical care that can help the patient to adapt to his new life and also making sure their current state is also improved.