The injury coordinator can evaluate these aspects of both telephonic case management and field-based case management by first emailing the adjuster and stating the above.
Also, the injury coordinator should know whether your NCM is an RN or a Licensed Practical Nurse (LPN). You should be charged less for an LPN or an NCM with less experience or fewer credentials.
- Require the NCM to provide frequent updates. If you review the insurer’s file notes online and do not see NCM notes, contact the NCM for an update.
- Ask your third-party administrator or adjuster to work with you to determine when nurses are needed to resolve claims quickly and ensure good-quality medical care for employees.
Ask the following:
- Do you have any suggestions for when we should use nurses and what types of claims?
- Can we get a list of all claims that have NCM assigned?
- Shall we touch base about this on our regular risk management conference call?
Related Content:
Make use of a Nurse Case Manager:
- In complex cases with multiple provider coordination.
- In new lost-time claims, the length of time out of work is disproportionate to the injury.
- When an employee is missing medical appointments.
- When surgery, including arthroscopy, is anticipated.
- For all hospitalizations.
- If there is diagnostic testing, including MRIs, CAT scans, or myelograms.
- For severe injuries, including severe eye injuries, severe lacerations, back and knee injuries, cumulative trauma cases, and severe sprains, strains, or dislocations.
- And remember: Not all nurse case managers are equally effective. If your assigned NCM is not effective, ask for a replacement.
FREE DOWNLOAD: “Step-By-Step Process To Master Workers’ Comp In 90 Days”
Contact: mstack@reduceyourworkerscomp.com.
Workers’ Comp Roundup Blog: http://blog.reduceyourworkerscomp.com/
©2024 Amaxx LLC. All rights reserved under International Copyright Law.
Do not use this information without independent verification. All state laws vary. You should consult with your insurance broker, attorney, or qualified professional.
FREE DOWNLOAD: “Step-By-Step Process To Master Workers’ Comp In 90 Days”