Case Management

MEDDOC Inc. Case Management division collects information to identify individual needs in order to develop a comprehensive case management plan. The team addresses specific needs to safely return the claimant to work in either a full duty or restricted duty capacity. Registered Nurse Case Managers provide the following telephonic or onsite services:

·        Insure prompt three point contact with 1-Claimant and or representative, 2-Employer  3-Care Providers,  within 24 hours of receipt in order to obtain injury information and to coordinate medical care and an early return to work

·         Identify disability duration timeframe

·         Follow claimants closely to assess perception of pain, progress, treatment plan, compliance or non-compliance, medication, daily living routine, care provider and diagnostic or procedural scheduling, and work ability

·         Communicate with care providers the above claimant status as well as obtain from them any and all medical reports, comment on MTG when applicable, billing, functional work capacity reports and when needed functional capacity evaluations

·         Work closely with employer to obtain injury information, job description, and return to work options

·         Maintain close contact with adjuster to discuss file direction and determine appropriateness of care provider’s requests for authorizations. Also to provide adjuster with all written communication obtained from all contacts

·         Report on significant new information in real time via email updates: claimant status, progress, complications, changes in perception or symptoms, care provider and diagnostic or procedural schedules/authorizations, results or findings, referrals, compliance and non-compliance

·         Recommend further assessment, roundtable discussions, ergonomic assessments,  and carrier examinations to further determine casual relationship, appropriateness of treatment, degree of disabilities, MMI date and work projection