What Not To Say To A Nurse Case Manager

They should not be directing treatment or act like they control the medical treatment.

The nurse case managers are agents of the insurance company and want to shift your doctor s advice and comments in the insurance company s favor. Contact mahaney pappas today to schedule a free consultation and discuss matters like this that may directly impact the outcome of your case. An injured employee need not cooperate with the workers comp nurse case manager. Contact a personal injury attorney to discuss your case.

Before the new board rule 200 2 came into effect you did not have to allow a nurse case manager to work on your case. If you ve got any other questions feel free to start a live chat from our website where you ll get your questions answered by a skilled workers compensation attorney or feel free to schedule a free strategy session with us by calling our office at 888. Another cue you need to be careful about your nurse case manager is when she starts considering a lot of your tests like mri unnecessary and urges you and your doctor to not execute them. Since board rule 200 2 became effective nurse case managers can do some things on your case without your agreement.

What is a nurse case manager. A good lawyer can rein in a nurse case manager that is out of control. The nurse case manager should never be allowed to speak with or to the doctor without the presence of the injured worker the nurse case manager must provide copies of any and all written reports made to the insurance company to the petitioner or the petitioner s attorney if he or she is represented. Their general purpose is to help facilitate appts prescriptions dealing with the claims adjuster getting approval for treatment and other miscellaneous functions.

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Nurse case managers or ncm s are there to act as a liaison between you your medical providers and the insurance company. A case management nurse oversees the long term care plan for his or her patients. It is also a good idea to make sure they not permitted to speak with the doctor alone. You could simply say that you did not want them on your case.

The reasons given could be anything from the injured worker is fine now. Specifically a nurse case manager cannot send you back to work or cut off your treatment. They shouldn t stomp around and treat you like you are a liar or a fraud. Often working with a specific type of patient requiring ongoing medical care e g geriatrics hiv aids or cancer patients the case management nurse collaborates with other medical professionals to create and implement a long term care plan that insures a patient gets the.

Not every employer requires case management certification for every position. Rules to follow include not allowing them into the examination room until after the physical examination is completed. However since certified case managers are harder to find than non certified ones those are the ads you are most likely to see in the classifieds. Here are some guidelines published by the state of michigan regarding medical case management.