Category Archives: What’s new in Case Management

Defining the Role of Case Manager as Patient Advocate

June 23, 2017 The role of nurses as patient advocates is well recognized by healthcare professionals and I believe is becoming more frequently recognized in the workers' compensation industry. However, I believe actually understanding the meaning of the role of advocate for the patient, or injured worker, is frequently misunderstood by all parties, including the nurse…
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CompAlliance Completes URAC Mid-Cycle Monitoring Review

April 13, 2017  CompAlliance completed a mid-cycle monitoring review related to our URAC Case Management Accreditation on April 11, 2017.  We received notification on Wednesday April 12, 2017 that our organization was considered compliant with the URAC mandatory standards for Case Management as of the date of the review.  In their notification they documented: It…
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Penicillin, Pacemakers, Milk Duds & Alternative Transitional Duty

Sometimes, discoveries happen when we least expect them or processes evolve in ways we hadn't anticipated.  One case in point would be the invention of penicillin, and Pacemakers were a byproduct of research on hypothermia. Serendipity happens with all kinds of everyday products, too.  One of my personal favorite is Milk Duds - a candy maker…
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April 5, 2017 Why is Heart Disease Presumed Compensable for Firefighters?

Over the past few years I have read about legislation in many states beginning to cover heart disease, heart attacks and hypertension.  I noted some states were more liberal in their interpretation than others.  For example in Florida, The Presumptive Disability Law for public officers states, Any condition or impairment of health of any Florida…
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Why Use Clinical Practice Guidelines?

CompAlliance received a letter from a petitioner's attorney requesting we provide our rationale for utilizing the clinical practice guidelines we currently use as "the National Guideline Clearinghouse has withdrawn approval."  In addition, the "guidelines are neither dictated nor mandated in Illinois." To answer the second part of this attorney's question, CompAlliance is URAC accredited.  URAC…
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Where is Case Management Going in 2017?

I have read multiple blogging prognosticators discussing their predictions for workers' compensation in 2017.  Some funny, some serious.  Just ask my husband, I always have to either have the last word or at least make sure my opinion is also included in any discussion.  So here goes with my opinions regarding case management trends in…
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Positivity flows from Alternative Transitional Duty

When we discuss the CompAlliance Alternative Transitional Duty Program (ATD) with our client partners, one of the advantages we discuss is the positivity that flows with assignment into our ATD program.  The injured worker is working in an environment with other volunteers that WANT to be there, and are helping others in need.  There are obviously…
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CompAlliance speaking at the WCI2016 Center for Excellence

CompAlliance is honored to be speaking at the WCI2016 Center for Excellence on “Driving Value through Quality,” with panel members Denise Algire, director of managed care and disability for the Albertsons Company in Pleasanton, Calif.; Linda Van Dillen, Chief Communications Officer of CompAlliance Managed Care in Merriam, Kan.; and Kylanne Green, president and CEO of URAC…
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IMPORTANT NEWS FOR MINNESOTA W/C INSURERS AND EMPLOYERS!

CompAlliance is pleased to announce a new service offering, Vocational Rehabilitation Service, in the State of Minnesota under our new branch affiliate name of CompAllianceQRC.  Click on this Link for full details of the CompAllianceQRC Vocational Rehabilitation Services in Minnesota.  https://www.compalliance.com/wp-content/uploads/2016/04/CompAllianceQRC-in-MN-Flyer-May-1-2016.pdf
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24/7 Nurse Triage

24/7 Nurse Triage - What it is and what it isn't When your employee is injured on the job what do you as the employer do? Do you have protocols in writing for your employees so they know who to report to? Do you have procedures set up for your employee when they request medical care…
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Are Case Management Task Assignments Effective?

Task assignments can be a cost-effective method of obtaining information or file movement when a workers’ compensation case only requires limited activity or a “snapshot” of information.  Typically these assignments request attendance at one physician appointment to obtain information that has been difficult to obtain, one visit to a therapy facility or employer or assistance…
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