Case Management
At Med-Law Connection, we take an "outcome -
based approach" to provide quality, cost effective
healthcare for those patients whose
circumstances require a case manager to
oversee their needs.
Our case managers
position themselves where the needs of the
patient, the health care team and the insurance
carrier intersect. The outcome we always strive
for is improved quality of life for the patient.
To achieve that outcome, a Med-Law
Connection case manager watches over every
phase of care and rehabilitation.
Throughout that process, our case
manager acts to:
- Identify Risks
- Identify and prevent possible medical complications
- Prevent accidents
- Promote the patient's independence and integration into the community
A key role involves teaching the patient to
participate in his or her treatment plan. Showing
the patient the long-term result of a care
decision can make a huge difference. Spending
now for appropriate, quality care can mean the
saving of future costs caused by complications or even greater disabilty.
Case management Intervention
- Multi-state licensed RN's and certified Case Managers
- Catastrophic, Field, Telephonic, and Disability Case Management
Intervention
Services Provided
- Coordinate medical treatment at the onset of injury to ensure
positive outcomes resulting to a quicker and less costly recovery
- Access current treatment plans, identify medical needs based
on objective findings, and monitor progress
- Determine anticipated return to work date, verify medical
restrictions and capabilities, and obtain maximum medical improvement
- Evaluate future medical expenses
- Cases requiring medical file analysis, provide chronology development
and documentation
- Assessing multiple health problems unrelated to the work injury yet
interfering with return to work
- Assist multiple injury types, spinal conditions, surgical cases,
head trauma, and multiple conditions affecting the progress of the client
- To help determine causality, diagnosis and causal medical
relevance to the injury
- When social and psychological factors influence recovery
- Hospitalization coordination; discharge planning; and facilitate/assess
Home Care
- Coordination of Independent Medical Exams, Consultations,
and diagnostic services with experts in the field
- Coordination of Vocational Evaluations
- Establish treatment requirements that will enable claimant
to gainful employment
Red Flag Indicators
- Relationship of accident to injury is unclear
- Medical guidelines indicate the treatment may be excessive
- Treatment plan is not clear or definitive
- Lost time over 30 days
- Indications for an Independent Medical Examination (IME)
- Multiple medical conditions with multiple diagnoses exist,
treatment is unusual or excessive
- Multiple medical providers and ancillary services
- Possibility of pre-existing conditions
- Delay in return to work
- Medical and non-medical issues seem to complicate recovery
- Recovery slow without medical indication
- Medical treatment does not correlate with accident, injury
or disability facts
- Treating providers have failed to provide medical information
or clarification despite requests
- Failure to follow the medical treatment plan, unwillingness
to communicate
- Unusual medical conditions
Elder & Geriatric Assesment
Med-Law Connection can assist with:
- Physician liaison: communicate with the physician(s) to coordinate
care.
- Geriatric assessment: initial and ongoing clinical assessment
to assess clients status related to medical condition, ADL's (activities
of daily living), living arrangements and medication management.
- Management of Medical and custodial care needs by facilitating
appropriate community referral.
- Liaison between medical needs and financial administrator:
assist with making sure medical needs are met and services/billing are
appropriate to clients medical condition.
Med-Law Connection offers local, statewide, and national services:
Call our Legal
Nurse Consultants at (563) 332-9851 or toll free (888)
5MED-LAW (888-563-3529) today or send us an e-mail
inquiry to see if we can help you.
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