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. Nurse case managers have two role that is in legal field where they are concerned with the patient’s rights and the available treatment services and in the medical field they are concerned with making sure that the patient receives the best medical care he or she can get.
They always ensure that there is a good balance between the employers best outcome and the patient best medical care. Secondly, they assist the injured worker to get the type of medical treatment that he or she needs and this is achieved by their ability of fetching detailed and accurate information concerning the treatment 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. They also ensure that they give information about the treatment authorization and the doctors visit the insurance adjuster. 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.
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. 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.