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The Function Of The Nurse Case Manager In The Employees’ Compensation Claim. Majority of the nurse case managers are identified by the nursing council of where they live through registration. An injured employee who is undergoing the workers compensation process is scheduled to attend the doctors’ appointments ,take part in the physical therapy as well as obtaining the required medical equipment. Occasionally, the insurance firms in charge of the compensation for the injured worker may need to the assistance of a nurse case manager to guide the claimer in meeting all the doctor’s appointments. The employee should, however, be familiar with his rights during the whole claim process as well as the duty limitation of the nurse case manager. The insurance companies can decide to assign the nurse case manager to guide the patient in communicating with the doctor as well as helping him attend all the appointments scheduled. The the patient should get the right type of medication and proper treatment from the doctors by the help of the nurse case managers. They act as a link between all the people involved in the claim process such as the doctors, employer, employee as well as the insurance company. The nurse case manager should possess unique knowledge concerning the work expertise in the social life, careers, medical and other life situations. The nurse case manager plays a key role in communication between the doctor and the patient especially in the treatment issues. The nurse case managers ought to ascertain all the data provided by the worker, she should also ensure that the injured worker receives proper medication while taking note of any severe impact that the medication was given might have on the patient. If the patient does not receive the appropriate medical care, the nurse should report her concern to the doctors and take the necessary action to solve the problem. All the data about the prognosis and medical management of the patient is submitted to the insurance company by the nurse case manager. The the nurse is not allowed to take other function that is not in her scope in the name of the enterprise.
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The employees should be aware their duties as well as the responsibilities of the nurse case managers given to them by the insurance company. The law responsible for the welfare of employees states that; the physician should only talk about the patients’ medical history, diagnosis, treatment and medication as well as progress of the client if the nurse case manager is there. The employee should always be present in all the discussion with the physician together with his lawyer if need be.Smart Ideas: Services Revisited