Accidents happen as workers go about working their different activities. To avoid nasty court battles, authorities encourage employers to ensure they set aside some kind of compensation in case one of their employee is injured. On the other hand the employee also needs to understand what his or her rights are during the process of compensation. In case you are wondering who is a nurse case manager and what they do, first of all they are registered nurses. As the term goes , a nurse case manager , is a registered nurse who plays crucial roles in the process of compensation of an injured worker.
Having the permission of the patient , a nurse case manager can attend the doctor’s appointment with the client in this, case the victim of the accident, and here the nurse communicates with the client and an authorized doctor about the patients treatment. A nurse case manager should see to it that a victim gets quality medical care and from a facility that meets standards.
The nurse case manager also has a role to go between and bring a form of understanding between all the parties involved to see that compensation has been arrived at and is satisfactory to all parties. An insurance adjuster, needed during the compensation process, is informed on what goes about the visit to the doctor by a nurse case manager.
The following are among ways through which a nurse case manager impact is felt, for the doctor , a case manager enables a smooth and accurate communication between the patient and the former. For the patient to access the treatment that they are after , they have to provide some information which is validated to be legitimate by the nurse case manager, furthermore, the case manager has a duty to ensure that the treatment is effective as it should be and in the case of any anomalies it’s their duty to identify them. If the treatment is not appropriate ,a nurse case manager should raise alarm and take the necessary action to ensure that proper care is being offered.
A nurse case manager and an insurance company are two different parties in cases of workers compensation. However, as much as the nurse case manager is independent they provide information to the insurance company concerning the client but they should not work against the worker during the settlement. A nurse case manager however provides the insurance company with information regarding the situation and the treatment of the worker but they should not go against the worker during the settlements.
The injured should also be aware of their entitlements which include being notified of the discussion between the case manager , insurance company and the employer. As a worker, you and your lawyer are allowed to be present in the discussions if you have one. Before a patient presents themselves for the discussions they need to be informed what is to be discussed in the meeting.