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.
In case the patient is okay with it, a nurse case manager can attend the doctor’s appointment of the injured victim and help with communication between the client and the doctor about the victim. A nurse case manager is responsible for helping the victim to obtain the medical care needed to get back to their former health by all means possible and from a good hospital as well.
The nurse case manager should also act as a liaison between all the parties involved in the compensation process, there may be an insurance company representative if the client was insured, the employer and any other party. Insurance adjusters need regular updates on the doctors treatment and in other cases treatment authorization, it is the role of the nurse case manager to be the informer.
The impact of the case manager comes in through a variety of ways , for a doctor they get to have smooth communication with their patients thanks to the nurse case manager. For the patient , first the case manager has a role to validate the information that the patient or the worker has provided they also check to ensure that the treatment process is effective and also identify any kind of problems with the treatment if there are any. If the treatment is not appropriate ,a nurse case manager should raise alarm and take the necessary action to ensure that proper care is being offered.
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.
Earlier we mentioned that the injured victim who is the worker has some rights too and this include being notified about the communication that is to happen between the employer , insurance company and the nurse case manager. The worker claiming compensation should be allowed to be present during the discussions that are supposed to happen between the parties and also the employee’s attorney should be allowed if present. The worker should also be notified about the nature of the discussions before they happen.