Take a case of a factory worker working at a conveyers’ belt and accidentally they get their hand caught in the system, that’s an example of accidents that workers come across as they do their jobs. Employers have to put in place compensations that may cater for such situations should they occur. It would be in the best interest for the employee to understand what rights they are entitled to during the process of seeking compensation. A nurse case manager is first of all a registered nurse before the aspect of case management comes in.
In case the patient is okay with it, a nurse case manager can attend the doctor’s appointment of the injured victim and help with communication between the client and the doctor about the victim. A nurse case manager should see to it that a victim gets quality medical care and from a facility that meets standards.
In the course of providing compensation to the affected victim the parties involved are mainly two but in some special cases it might be more than just the employee and the employer, the nurse case manager acts as a liaison in the compensation process. Insurance adjusters need regular updates on the doctors treatment and in other cases treatment authorization, it is the role of the nurse case manager to be the informer.
A nurse case compensation manager has her impact felt all through the entire process , for the physician the case manager facilitates a flow of information between the victim and the treating doctor or physician. For the patient , first the case manager has a role to validate the information that the patient or the worker has provided they also check to ensure that the treatment process is effective and also identify any kind of problems with the treatment if there are any. Upon the inspection of a nurse case manager concluding that the patient is not receiving the proper care, they should make arrangements for the patient to receive the proper treatment.
A nurse case manager and an insurance company are two different parties in cases of workers compensation. A nurse case manager is allowed to provide the relevant information concerning the situation of the victim and the medical care but, he or she should not be in support of the insurance company when enacting a settlement.
The injured should also be aware of their entitlements which include being notified of the discussion between the case manager , insurance company and the employer. The victim also should be allowed to be present with their attorney if they are present. Before a patient presents themselves for the discussions they need to be informed what is to be discussed in the meeting.