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A Guide to Successful Workers' Compensation Case Management

“Unlocking Opportunities in the Field of Workers’ Compensation Case Management”

Knowledge Empowers You!!

Until now, there has been no other comprehensive resource book available to address the specific needs for this specialty area of case management. “A Guide to Successful Workers’ Compensation Case Management” published by a practicing case manager to share her years of experience in the field with other case managers as well as with industry leaders is now available. This step-by-step resource guide effectively reflects years of knowledge and skills required to develop a successful workers’ compensation case management practice model. Whether you are just starting out or are a seasoned workers’ compensation case manager, this resource book will help you take your professional practice to the next level.

In this resource guide, you will find information regarding best practices for workers’ compensation case managers and easy-to-implement action plans designed to help you get from point A to point B in achieving positive client outcomes.

Book topics include:

  • Applying workers’ compensation case management principles per State practice.
  • Best practice guidelines for workers’ compensation case management.
  • Roles of the workers’ compensation team in decision making.
  • Steps to getting the legally represented injured worker back to work.
  • Interventions/care coordination performed across case management practice.

FAHCS Consulting Services, on request:

  • Provides services ranging from transitioning to workers’ compensation case management and/or medical legal record reviews. Consulting services will focus on implementing guidelines for evident-based best practice services.
  • The book author is a subject matter expert on case management and legal nurse consulting, as a past chair of CCMC ; having authored articles on case management and having over twenty years practice in both fields.
  • Book purchase @ Booklogix.com; Amazon.com; Barnes & Nobles.com.

Contact: Dorothy C. Fairnot, MSHA, BS, RN, CM, LNC.  Email: Fairnotd@comcast.net

Categories
A Guide to Successful Workers' Compensation Case Management

Book eBriefing

Subject: Workers’ Compensation Case Management

Welcome to the quarterly series of eBriefings that will provide you an overview of resource information available in, “A Guide to Successful Workers’ Compensation Case Management”.

Overview

In the workers’ compensation system, the professional case manager assesses the needs of individuals who have job-related illnesses, injuries, or impairments. Medical conditions may range from minor injuries or illnesses that require a minimum of medical intervention to more severe, even catastrophic conditions. Usually, a case manager is involved when the medical condition or other physical impairment impacts the individual’s ability to perform the duties and functions of his or her job. The more serious and complex the condition is, the greater the need for care coordination by a professional case manager.

Did you Know

  • The Workers’ Compensation Insurance Industry leads in the field of offering case management services as a benefit to improving medical care delivery and cost containment as part of the claims management package in most states.
  • The team approach recognizes an effective means to improve efficiency within the healthcare system. The Institute of Medicine, in its groundbreaking report, ‘Crossing the Quality Chasm,” emphasized the creation of patient-centered care teams, with greater cooperation and collaboration among healthcare teams being essential to overcome the fragmentation that has riddled the system when professionals operate in silos, focusing only on their individual roles in care delivery. (Institute of Medicine, 2010).
  • Case Managers are expected to invoice services for actual time spent on each claim activity in increments of one-tenth of an hour by rounding up time to the nearest one-tenth of an hour.
  • The benefit of case management interventions have been recognized over several decades. These interventions date back to World War II when case managers coordinated care for wounded soldiers. The practice of facilitating required medical services and coordinating care is the paramount role and function of the workers’ compensation case manager, which leads to major cost savings on each claim served.

The next eBriefing will focus on answering everyday practice questions posed by case managers.

Categories
A Guide to Successful Workers' Compensation Case Management

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