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. The employee has a part to play too incase they fall victim to injuries should an accident happen, they need to be conversant with what rights they are entitled to during the process of compensation. A nurse case manager is first of all a registered nurse before the aspect of case management comes in.
Having the permission of the patient , a nurse case manager can attend the doctor’s appointment with the client in this, case the victim of the accident, and here the nurse communicates with the client and an authorized doctor about the patients treatment. Among the duties of a nurse case manager is to help the client get good medical care that is going to restore their health and also it should be from a good hospital.
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. An insurance adjuster, needed during the compensation process, is informed on what goes about the visit to the doctor by a nurse case manager.
A nurse case compensation manager has her impact felt all through the entire process , for the physician the case manager facilitates a flow of information between the victim and the treating doctor or physician. 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. Upon the inspection of a nurse case manager concluding that the patient is not receiving the proper care, they should make arrangements for the patient to receive the proper treatment.
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.
Among the rights of the injured , they should be notified on the communication that is to happen between the involved parties in the compensation process. As a worker, you and your lawyer are allowed to be present in the discussions if you have one. The worker should also be notified about the nature of the discussions before they happen.