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Case management services involve assisting a catastrophically injured/ill person in their medical
treatment/recovery and return to optimal functioning within the community. The Nurse Case
Manager acts as a liaison between the injured/ill person, health care providers, employer, insurance
carrier, attorneys, and trustee/guardian. Case management services promote a ‘patient
advocate’ relationship while providing cost effective services to reduce the overall costs of insurance
claims or medical bills. Case management services assist in identifying medical concerns
and health care options, provide early intervention to reduce medical complications, and allow
the person/family to make health care decisions. Case management services include an assessment
of the injured/ill person’s medical and non-medical needs; identification of necessary
medical resources, coordination/facilitation of appropriate medical and non-medical recommendations,
and an evaluation the person’s medical recovery.
Vocational case management services include an assessment of the injured/ill person’s employment/ education history, identification of barriers (physical, mental, behavioral, environmental, etc.) preventing the person from returning to gainful employment, identifying alternate employment opportunities, and assisting the person in returning to employment/productive lifestyle.
