Take a case of a factory worker working at a conveyers’ belt and accidentally they get their hand caught in the system, that’s an example of accidents that workers come across as they do their jobs. In some countries it is mandatory for employers to put in place mechanisms that bail out such situations in case they happen. On the other hand the employee also needs to understand what his or her rights are during the process of compensation. A nurse case manager is first of all a registered nurse before the aspect of case management comes in.
If the patient has no objection or upon their request the nurse case manager can attend the hospital appointments and talk about the treatment to both the doctor and the patient about the treatment. Among the duties of a nurse case manager is to help the client get good medical care that is going to restore their health and also it should be from a good hospital.
In the course of providing compensation to the affected victim the parties involved are mainly two but in some special cases it might be more than just the employee and the employer, the nurse case manager acts as a liaison in the compensation process. Nurse case manager are also responsible for providing information concerning the doctors visit to an insurance adjuster who comes to play in the case of compensation cases.
The following are among ways through which a nurse case manager impact is felt, for the doctor , a case manager enables a smooth and accurate communication between the patient and the former. In the process of treatment, everything does not always go as planned unfortunately , in case something goes wrong with the treatment , a nurse case manager is supposed to identify the same and also validate the information that the worker has provided. A case manager should act as a whistle blower incase the treatment provided is not befitting the situation, later they should take action to ensure that the patient receives the needed healthcare.
It should be noted that a nurse case manager works independently from the insurance companies and that they are not in any way presenting the same fronts. However, as much as the nurse case manager is independent they provide information to the insurance company concerning the client but they should not work against the worker during the settlement. A nurse case manager however provides the insurance company with information regarding the situation and the treatment of the worker but they should not go against the worker during the settlements.
The injured should also be aware of their entitlements which include being notified of the discussion between the case manager , insurance company and the employer. The victim also should be allowed to be present with their attorney if they are present. Before a patient presents themselves for the discussions they need to be informed what is to be discussed in the meeting.