Term Of the Day – Case Management
Case Management in the Workers Comp arena used to mean rehabilitation nurses or vocational experts that aid the injured employee in his/her medical care and return to work.
Case Management now seems to have become a buzzword that can actually mean anything from an adjusters to work to the medical bill review department.
- Assist employers in decreasing worker’s compensation and health care costs
- Meet with the injured worker and the employer and complete a job evaluation
- Coordinate injured workers’ return to work by acting as a liaison between the worker, the physician and the employer
- Identify treatment plans, oversee medical care and monitor an injured worker’s progress
- Keep the employer and the insurance company informed of pertinent progress, return-to-work status and treatment recommendations
- Provide telephone case management as necessary
- Serve as a source of information for the injured worker, the employer and the physician
- Provide detailed reports for the employer and the insurance company and to the employee’s attorney, if represented.
A Vocational Case Manager is totally different. Their services include:
- Coordination with the client, referral source, physician, employer, attorney and others with the ultimate goal being the client’s timely return to gainful employment.
- Interviews and evaluates the client to determine the degree of disability, eligibility and feasibility of vocational rehabilitation services.
- Determines suitable job goals consistent with the client’s interests, aptitudes and physical limitations.
- This includes completing vocational evaluations, labor market surveys, job analysis, on-site job evaluations.