Accidents happen as workers go about working their different activities. Employers have to put in place compensations that may cater for such situations should they occur. It would be in the best interest for the employee to understand what rights they are entitled to during the process of seeking 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 is responsible for helping the victim to obtain the medical care needed to get back to their former health by all means possible and from a good hospital as well.
The nurse case manager should also act as a liaison between all the parties involved in the compensation process, there may be an insurance company representative if the client was insured, the employer and any other party. 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 impact of the case manager comes in through a variety of ways , for a doctor they get to have smooth communication with their patients thanks to the nurse case manager. 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. A case manager should act as a whistle blower incase the treatment provided is not befitting the situation, later they should take action to ensure that the patient receives the needed healthcare.
It should be noted that a nurse case manager works independently from the insurance companies and that they are not in any way presenting the same fronts. 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. The worker claiming compensation should be allowed to be present during the discussions that are supposed to happen between the parties and also the employee’s attorney should be allowed if present. The worker should also be notified about the nature of the discussions before they happen.