As workers go about their day to day activities, accidents may happen which were not expected. Employers have to put in place compensations that may cater for such situations should they occur. On the other hand the employee also needs to understand what his or her rights are during the process of 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.
In case the patient is okay with it, a nurse case manager can attend the doctor’s appointment of the injured victim and help with communication between the client and the doctor about the victim. Among the duties of a nurse case manager is to help the client get good medical care that is going to restore their health and also it should be from a good hospital.
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. 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 , first the case manager has a role to validate the information that the patient or the worker has provided they also check to ensure that the treatment process is effective and also identify any kind of problems with the treatment if there are any. 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.
Nurse case managers work independent of the insurance companies. 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.
Earlier we mentioned that the injured victim who is the worker has some rights too and this include being notified about the communication that is to happen between the employer , insurance company and the nurse case manager. The victim also should be allowed to be present with their attorney if they are present. The worker should also be notified about the nature of the discussions before they happen.