When Should You Use the Services of a Field-based Case Manager? Field-Based Case Management is the process of utilizing a Medical Case Manager to assist the claims professional with assuring appropriate, goal-directed, timely medical treatment and facilitating a consistent, progressive return to work program with the goal of an [...]
WHEN THE RECOVERING WORKER IS UNABLE TO RETURN TO THE JOB OF INJURY WITH THE EMPLOYER Even with the finest medical case management, on occasion a recovering worker’s post injury functional capabilities will prevent a return to their job of injury with the employer. When a return to work at [...]
Introduction to your Employee's Alternative Transitional Duty Program When an employee experiences injury, illness, or disability that causes him or her to lose time from work, he or she will likely interact with, at a minimum, medical practitioners and claims administrators. These professionals have their own specialized responsibilities and [...]
Recently, I met two podiatrists that practice in New York and perform workers’ compensation IMEs along with their usual practice. They were down to visit one of my friends and play some golf in Florida. When they found out I worked in the workers’ compensation industry, they verbalized frustration [...]
Frequent readers of my blog may recall my multiple articles on different aspects of the epidemic as it relates to the workers’ compensation industry, and how CompAlliance has structured their Opioid Protocols as a result. On June 6, 2018, in my article, Opioid Limits on Prescribing – Has the [...]
Yesterday I touched on the ANA Position Statement providing ethical guidance and support to nurses and some of the responsibilities a nurse has when managing a patient in pain. I was asked today why a Case Manager would be responsible for assisting in the management of pain, to describe [...]
I was reading an ANA Position Statement providing ethical guidance and support to nurses as they fulfill their responsibility to provide optimal care to persons experiencing pain. We in the workers’ compensation industry have participated fully in the national debate on the (in)appropriate use of opioids for pain management. [...]
Part 2 of my report on the CCMC conference. On Day 2 of the CCMC conference we heard a very interesting plenary session on the future of healthcare by Dr. Robert Pearl, one of Modern Healthcare’s 50 most influential physician leaders. He stated, “We spend more on healthcare than [...]
Last week I attended the CCMC case management conference. I usually attend the WCRI conference every year and this year the schedule for the two conferences conflicted. I missed WCRI and #1 felt a little bit left out, and #2 it was in Arizona instead of Boston in February, [...]
Return to Work vs. Return to Function - Insurers Part 4 In Part 3 of this series, dated 9/28/2018, I discussed the “What’s in It for the Caregiver/Provider” regarding RTW. Today I will discuss the common perceptions, misconceptions and the “What’s in it for the Insurers”, the results of [...]
In Part 2 of this series, dated 9/27/2018, I discussed the “What’s in It for the Injured Worker and the Union” regarding RTW. Today I will discuss the common perceptions, misconceptions, the “What’s in it for the Caregiver/Provider” and a best practice statement by the IAIABC. Please refer to [...]
