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The Function Of The Nurse Case Manager In The Employees’ Compensation Claim. Almost all the nurse who has specialized in the case management are registered by the nursing board organization of their state. A a worker who file compensation claim ought to avail himself in attending the physical therapy sessions, meeting the doctors’ appointment as scheduled as well as getting the necessary medical equipment needed. Occasionally, the insurance firms in charge of the compensation for the injured worker may need to the assistance of a nurse case manager to guide the claimer in meeting all the doctor’s appointments. The employee should, however, be familiar with his rights during the whole claim process as well as the duty limitation of the nurse case manager. The insurance companies can decide to assign the nurse case manager to guide the patient in communicating with the doctor as well as helping him attend all the appointments scheduled. These nurses are responsible for assisting the injured employee to get the right medication and treatment they deserve. The case managers act as a connection between everyone who is involved in the claim process, this includes; the doctors, employer, claimed as well as the insurance company. The nurse must also have a unique work experience in the medical, social, occupation and also situation issues. The nurse case managers have an important responsibility of ensuring that the patient and the doctor have good communication as well as taking note of the medication that the patient gets. For the injured employee, the nurse should not only certify the information that the employee give but is also in charge of making sure that the patient get the right medication as well as identifying any problem related to the medicine that may arise. If the patient does not receive the appropriate medical care, the nurse should report her concern to the doctors and take the necessary action to solve the problem. Generally, the nurse case managers gives the insurance companies the necessary information regarding the progress of the patient and the medical care administered. They should never perform other duties like carrying investigation on behalf of the insurance company.
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The injured employees ought to know the duties of the nurse given to them by the insurance company and also know their responsibilities. It is only in the presence of the nurse case manager that the doctor should discuss any information regarding the patients’ diagnosis, treatments and medication as well as the general progress of a patient; this is according to the law that protects the welfare of the workers compensation. The employee should always be present in all the discussion with the physician together with his lawyer if need be.Understanding Experts