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. A nurse case manager is first of all a registered nurse before the aspect of case management comes in.
If the patient has no objection or upon their request the nurse case manager can attend the hospital appointments and talk about the treatment to both the doctor and the patient about the treatment. A nurse case manager should see to it that a victim gets quality medical care and from a facility that meets standards.
In the course of providing compensation to the affected victim the parties involved are mainly two but in some special cases it might be more than just the employee and the employer, the nurse case manager acts as a liaison in the compensation process. Insurance adjusters need regular updates on the doctors treatment and in other cases treatment authorization, it is the role of the nurse case manager to be the informer.
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. Upon the inspection of a nurse case manager concluding that the patient is not receiving the proper care, they should make arrangements for the patient to receive the proper treatment.
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. A nurse case manager is allowed to provide the relevant information concerning the situation of the victim and the medical care but, he or she should not be in support of the insurance company when enacting a settlement.
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.