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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. An injured employee who is undergoing the workers compensation process is scheduled to attend the doctors’ appointments ,take part in the physical therapy as well as obtaining the required medical equipment. 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 nurse managing the case can sometimes be given the duty to meet all the doctors appointments together with the claimer for to see that the employee get the treatment he deserves and also to ensure that there is good communication between the physician and the physician. The case managers have a duty to ensure that the patient gets the correct treatment with safe drugs prescriptions from the doctors. The nurse case managers are given the mandate by the insurance company to act as a link between the enterprise, injured worker and the physician. The nurse managing the case ought to have several qualities in the job experience, medical, social life, vocational as well as in all other situation. The nurse case manager plays a key role in communication between the doctor and the patient especially in the treatment issues.

The the nurse is assigned with the responsibility of not only validating the information given by the injured employee but also ensuring that the employee gets the correct treatment and also taking note of any side effect that the drugs may have on the patient. The nurse case manager has a duty to report all the patients concerns to the physician, that is if the patients feels he is not satisfied with the type of treatment he is getting. All the data about the prognosis and medical management of the patient is submitted to the insurance company by the nurse case manager. The nurse case manager should never agree to carry out duties such conduct investigations for 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.Short Course on Experts – What You Should Know