The goal of case management in workers’ compensation should be to achieve wellness through advocacy, communication with the claimant, education, identification of resources, facilitate services and to contain costs.
The goals are much more than simply reaching MMI (Maximum Medical Improvement) or obtaining an impairment rating.
The case management goal is for the claimant to achieve wellness and become as functional as possible whether or not he or she returns to work.
The nurse case manager is always assessing the claimant and identifying issues which will delay healing or become costly.
By combining these goals we create happier claimants, adjusters, attorneys and employers.
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“The 6-Step Process To Determine Workers’ Comp Injury Causation”
6 Key Goals of Nurse Case Management
- Advocacy– active support of an idea or case, especially the act of pleading or arguing for something.
2. Communication– reciprocal sharing with others of written oral and non-verbal information.
3. Education– instructing; activities that impart knowledge or skill.
4. Resource Identification– obtaining the means of meeting a need or deficiency especially an economic of social need or deficiency.
5. Facilitation-guided process of decision making; an act of assisting or making easier the progress or improvement of health. (workersxzcompxzkit)
6. Cost Containment– strategies to control the rising cost of health care.
Victoria Powell is the President of VP Medical Consulting, LLC located in Central Arkansas. VP Medical Consulting is a nurse consulting firm providing services to employers, insurance companies, attorneys and the general public. Services include case management, life care planning, legal nurse consulting, ergonomics and patient advocacy. Ms. Powell holds specialty certifications in a variety of nursing specialties. She can be reached through the web at http://www.vp-medical.com by phone at 501-778-3378.
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Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker about workers’ comp issues.
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