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Medical Case Management

Our first priority is always to ensure that an injured employee quickly receives the most appropriate treatment. Once treatment is obtained, our job is to monitor and manage the care of the injured employee. We have learned that the sooner a professional Nurse Case Manager becomes involved, the better the outcome for both the employee and the employer.

Certified as an occupational health nurse, the Medical Case Consultant facilitates medical treatment; acts as a liaison between the injured employee and the claim manager; facilitates and controls rehabilitation; and facilitates transitional/ modified duty. This coordinated personalized approach benefits injured workers and helps to hold down claims costs.

The claim manager has ultimate control of each lost time claim and is responsible for performing a complete investigation; payment authorization; evaluation of the claim, including setting and monitoring reserves; negotiation; litigation management; subrogation and second injury fund filings.