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. 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. 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. They also ensure that they give information about the treatment authorization and the doctors visit the insurance adjuster. 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 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. A nurse case manager is also helpful and valuable for you to have as he ensures that the doctor appointments are enhanced by attending the appointments and also keeps a good eye on things during treatment to make sure that everything works well.
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.