When an adjuster is faced with a new and severe claim, it requires immediate attention. The injured worker may have a life-altering injury at work requiring emergency surgery, before the adjuster even sees the claim. These injuries are crush injuries, severe fractures, spinal injuries, or closed-head injuries.First the adjuster needs to gather medical records to determine the patient’s prognosis. Questions the adjuster may ask are: Does the injured worker require an extended hospital stay? Does the patient have adequate in-home medical care or is an outside vendor recommended? Will the patient require more surgery? These are questions that must be answered, and if the adjuster is unavailable for whatever reason, a field nurse case manager (FNCM) can be very useful in helping to answer these questions. (WCxKit)
1. The FNCM can help ease the transition from hospital to home and beyond.
2. The FNCM can secure medical records faster than the adjuster.
3. A FNCM can help make a discharge from hospital to home easier.
4. A FNCM will stay on the case until the injured worker is stabilized.
5.The FNCM provides the injured worker resources of care.
Author Rebecca Shafer, JD, President of Amaxx Risk Solutions, Inc. is a national expert in the field of workers compensation. She is a writer, speaker, and website publisher. Her expertise is working with employers to reduce workers compensation costs, and her clients include airlines, healthcare, printing, publishing, pharmaceuticals, retail, hospitality, and manufacturing. See www.LowerWC.com for more information. Contact: RShafer@ReduceYourWorkersComp.com.
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