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What is telephonic case
management?
Telephonic case
management is a cost-effective, proactive service routinely used by
carriers, third-party administrators and self-insured companies to:
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Accurately assess medical
status very soon after non-catastrophic lost time injuries occur;
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Communicate to medical
providers that case management is in place;
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Assist the injured worker
as needed with medical care coordination, recovery and return to work.
Systemedic's telephonic
case management services
Systemedic's RN case managers, specializing in Arkansas workers'
compensation, provide ongoing communication with the account, medical
care providers, the injured worker and the employer to achieve a
favorable medical and cost outcome. Through concurrent monitoring of
quality and appropriateness of medical care, we promote timely recovery
and return to work.
The claim representative
or employer should initiate telephonic case management as quickly as
indicated by the claim status
(see
Indicators for referral to telephonic case management also see an
actual case
example illustrating how case management can positively impact the
outcome of case.)
If serious injuries or
complex case issues are identified during the initial RN telephonic
assessment, we will facilitate transfer to on-site level case
management, with account approval.
For additional
information or a free consultation, contact:
Evonne Nusz, Manager, RN, CCM
Phone: 501-227-5553 or 800-822-2680 (ext. 139)
Fax: 501-978-2050
Use this link if you
would like to
refer a case to Systemedic.
Indicators for referral to
telephonic case management
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Assistance needed for
early clarification and assessment of extent of injury and treatment
plan
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Lost time in excess of two
weeks incurred or anticipated
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Appropriateness or injury
relatedness of proposed treatment is in question
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History indicates
repetitive injuries
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Pre-existing unrelated
medical conditions or compromised motivation to return to work
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More than two physicians,
or a physician and a chiropractor concurrently treating
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Chiropractic or physical
therapy treatment exceeding 4–6 consecutive weeks
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Anticipated
hospitalization or surgery with associated risk of complications and/or
prolonged recovery
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Extended treatment of
non-specific diagnosis or chronic condition
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