Telephonic Worker's Comp Case Management
Workers’ Compensation 24-hour telephonic medical case management advisory services from receipt of 1st Notice-of-Injury through discharge at Maximum Medical Improvement and Return-to-Work.Integrated Health has been providing cost-effective, goal-oriented, case management and return-to-work services for more than 25 years. Geared toward the special challenges of the Worker’s Compensation continuum, Integrated Health has been extremely successful in not only managing the most cost effective solutions to providing the injured worker with medical care, but in working with all parties to get the workers’ back into their organization as quickly as possible. Our methods are not simply finding the cheapest doctors and clinics to perform the work because that never solves the problem and can often lead to increased costs in the long run.
Our role in the complex process is more that of a partner or consultant in not only arranging for appropriate health care options to immediately address the injury; but also to find ways to make job modifications where necessary, to arrange for corporate culture shifts where culture has proved to be an impediment to return to work; and to effectively communicate on your behalf with the various interested parties.
Give us a call and let us help you evaluate your unique needs in this market.
Is your medical case management team overwhelmed?
Integrated Health LLC offers specialized medical case management services designed to streamline your processes and improve patient outcomes. Our experienced case managers provide personalized care, coordinate treatment plans, and monitor patient progress to ensure optimal recovery. Let us help you optimize your medical case management and achieve better results.
Medical Case Management Services For Self-Insureds
Frequently Asked Questions
What is the role of a medical case manager in workers' compensation claims?
A medical case manager plays a crucial role in coordinating and overseeing the medical care of injured workers. They work closely with healthcare providers, employers, and insurance adjusters to ensure timely and appropriate treatment, monitor the rehabilitation process, and facilitate a successful return to work.
How do medical case managers benefit third-party insurers?
Medical case managers can significantly benefit third-party insurers by:
- Reducing claim costs: By ensuring efficient and effective treatment, medical case managers can help to minimize unnecessary medical expenses.
- Improving claim outcomes: They can help to facilitate a quicker and more complete recovery for injured workers, leading to better overall claim outcomes.
- Streamlining the claims process: Medical case managers can help to simplify and streamline the claims process by coordinating communication between all parties involved.
What specific services do medical case managers provide for third-party insurers?
Medical case managers typically provide the following services:
- Case evaluation and assessment: Assessing the severity of the injury and determining the appropriate course of treatment.
- Treatment coordination: Coordinating appointments with healthcare providers, ensuring timely referrals, and monitoring treatment progress.
- Return-to-work planning: Developing return-to-work plans and assisting with job placement, if necessary.
- Utilization review: Ensuring that medical services are appropriate and necessary for the injured worker’s condition.
- Communication and reporting: Providing regular updates to the insurer and other stakeholders, including claim status, medical progress, and projected return-to-work dates.
How do medical case managers ensure quality care for injured workers?
Medical case managers ensure quality care by:
- Selecting qualified healthcare providers: Working with a network of experienced and reputable healthcare providers.
- Monitoring treatment effectiveness: Regularly reviewing medical records and communicating with healthcare providers to ensure that treatment is on track.
- Advocating for the best interests of the injured worker: Working closely with the injured worker and their family to ensure their needs are met.
How can third-party insurers select the right medical case management provider?
When selecting a medical case management provider, third-party insurers should consider the following factors:
- Experience and expertise: Look for a provider with a proven track record in workers’ compensation case management.
- Network of healthcare providers: Ensure the provider has a strong network of qualified healthcare providers.
- Technology and tools: Consider the provider’s use of technology to streamline processes and improve efficiency.
- Customer service: Evaluate the provider’s commitment to providing excellent customer service and support.
- Cost-effectiveness: Assess the provider’s pricing structure and value proposition.
Contact
Phone
(954)489-0777
info@usaih.com