A case management executive made the argument for securing the services of a case manager to improve claims processing for injured employees, specifically those suffering from co-morbidities, or attendant diseases apart from their injuries.
Genex Services national director of case management Mariellen Blue said in a recent report that it is efficient to hire case managers because they “are skilled at conducting initial case assessments with the goal to achieve a complete history, whether a condition is related or unrelated to that compensable injury.”
She added that it helps that these professionals consult clinical protocols and guidelines in making their assessments, which improves accuracy.
“Because of their frequent contact with injured workers, these professionals act as advocates, building and maintaining trusting relationship,” Blue commented. Such a relationship is important in gaining insight into an injured worker’s situation, which will help determine treatment recommendations, she explained.
“Because they’re in constant communications with all providers in a claim, case managers can also consult with these health care professionals to determine new care plan strategies and uncover resources to help the injured worker get the care he needs,” Blue added.
