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. Legally they are concerned with patients available services and rights, and on the medical side they ensure that the patient receives the best care.
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. 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. They should also work to ensure that the communication between the patient and the treating physician is accurate and free.
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. There are doctors appointments for the patient or the injured worker, and here the nurse case manager plays a great role in attending them and making sure that he or she improves the negotiations and apart from this he or she also keep a good eye in the medical care process to ensure that everything is going on 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.