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.
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.
Their benefits are endless as they also serve a small a liaison that brings together the parties involved in the claim on workers compensation, for example, the doctor and the injured worker. They also ensure that they give information about the treatment authorization and the doctors visit the insurance adjuster. It is the role of the nurse case manager to maintain a good and an open communication between the patient and the physician who is treating the patient.
Another role of a nurse case manager in workers compensation is to ensure that the medical care of the patient is being carried out effectively and also identify any challenges that may arise from the treatment process and if there is any challenge he or she should raise concerns and take action to ensure that the best medical care is given. 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.