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Role Of Nurse Case Manager In Workers Compensation.
Nurse case managers have become very important in the current times due to their skills and the help that they offer and it is, therefore, advisable that hire one who will help you both legally ad medical. Legally they are concerned with patients available services and rights, and on the medical side they ensure that the patient receives the best care.
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. They also ensure that the injured worker obtains the type of medical care that he or she needs and this is because they can obtain the more detailed and accurate information about the treatment strategy from the physician.
Nurse case managers also work tirelessly to bring a liaison between involved parties in the claim of compensation by the worker for example between 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.
A nurse case manager in workers compensation is also supposed to make sure that the medication and medical care is going on effectively and he or she should also identify any challenges that are arising from the care and ensure that he or she raises concerns if the care is not appropriate and also take action to makes this right in order for the patient to get the best medical care. 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.
A nurse case manager is not allowed in any way to act as an advocate for the injured worker for the best insurance settlement when it comes to the negotiations and he or she is not supposed to investigate the insurer in any way. A nurse case manager also assist in enhancing the patients outcome and this is by deciding the type of treatment that will help the patient cope with their new stage of life and also trying to enhance their current state.