Nurse Field Case Management Services

Tri-Cities, Moses Lake, Yakima, Walla Walla and surrounding areas.

 

Field solutions and services (task or full medical assignments) 

 Attendance to physician appointment to clarify diagnosis, appropriate treatment plan, length of disability, anticipated MMI dates and facilitate a timely return to work.
  • Clear guidelines r/t injured workers capabilities established while attending MD appointment. (What can the injured worker do vs. what they cannot do)
  • Catastrophic injuries (head, spinal cord, burns, amputations)
  • Unusual diseases or disorders (Lyme, Chronic Pain syndrome, Thoracic outlet syndrome)
  • Non-union fractures
  • Back surgery/fusion or second back surgery
  • Rotator cuff tear, ACL tear, Meniscus tear
  • Facilitate MMI and expedite diagnostic testing
  • Non-Compliance issues that have not been resolved by telephone successfully
  • Telephonic case management for over 60 days
  • Potential loss time of ninety days or more
  • Return to repetitive work/ potential for aggravation or re-injury
  • Return to work will require job modification
  • History of multiple work injuries
  • Treatment plan does not correlate with the injury sustained
  • Social issues (Transportation problems, child care, finances, and other issues)
  • Questionable legitimacy of injury or causation/work relatedness
  • Negative attitude regarding return to work
  • Aggravation of pre-existing condition or re-injury shortly after returning to work
  • Other handicaps to employment (communication barriers)
  • Complicating factors such as smoking, alcohol or substance abuse
  • Pre-existing conditions affecting recovery period and treatment
  • Conflict of medical status between the physician and the injured worker
  • Working light duty with no progression toward full duty in the future
  • Elderly injured worker
  • Multiple medical providers, frequent changes in providers
  • Objective visual assessment
  • Safety assessment in the injured workers home

       Every injured worker is unique. Some require more direct case management to expedite their recovery and return to work. These cases are typically referred for field intervention. Red Mountain Field Case Management is ready to work for you. The referral source collaborates with the field nurse communicating all pertinent medical and demographic information. 

       Upon referral to the field, each case is immediately assessed after a discussion with the worker and a review of medical records. With permission from the account, the case manager works with the employer to obtain a job function of possible transitional work in advance of physician consideration for release to modified duty and contributes to a timely and safe return to work. A goal-directed plan is established to return the injured worker to optimal functioning capacity.

 

       Attendance with the injured worker to physician appointments by a certified case manager with a registered nurse degree is extremely helpful in determining appropriate access and timely delivery of necessary medical services. Clarification of diagnosis, treatment/rehabilitation plan, prognosis, medical status within the usual recovery process, return to work dates and a definition of work restrictions can be identified. Diagnosis and treatment immediately following a work-related injury is critical to limiting future medical and lost time expenses. Effective and timely communications among all involved parties will expedite an early return to work. The case manager also works as a conflict manager to prevent litigation costs.