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. The role number two of the nurse case manager in workers compensation is to help the patient obtain the type of medical care that he or she needs and this is as a result of their ability to get more detailed and accurate information about the treatment strategy from the physician.
Another the role is to make sure there is a good relationship of mutual understanding between the parties involved in the worker’s claim for compensation such as 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 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.
On the contrary he or she is not supposed to advocate for the injured worker during the best insurance settlement negotiations and also not investigate the insurer. Another role that a nurse case manager play during the workers compensation is assisting the patient in improving trying to improve their overall outcome and they achieve this by deciding on the form of treatment they will help the injured worker to cope with his or her new life and also making sure that their current state is improved.