When to Use a Nurse Case Manager in Your Claim : vimarsana.c

When to Use a Nurse Case Manager in Your Claim


communications with all parties, and interested stakeholders.
Setting the right tone from the onset will help the nurse case manager be the most effective.
Using Nurse Case Managers in the Right Cases
Not every case is right for using a nurse case manager. Using a nurse case manager in all cases will increase program costs. It is important to evaluate a claim before assigning a nurse case manager, and consider using one in the following instances only:
Wage loss claims: Unlike “medical only” claims, instances that involve a wage loss tend to cost more in the long run. The added issue also adds to the complexity of the claim. When an employee is off work, they are facing what can be a difficult return to work issues. A nurse case manager can serve as a conduit and help coordinate the many complex issues associated with these claims. This can include understanding restrictions imposed by the treating doctor, assessing the employee's transferable job skills, and coming up with creative ideas when preparing a written job offer.

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