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Medical Case Management:
Including Workers' Compensation
cases, Long Term Disability, Jones Act, Longshore, Auto,
Liability cases, and Elder care. Case Management involves working closely
under the direction of the claim adjuster including: |
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 | Attending medical appointments with ill/injured
person |
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| Arranging, managing, and facilitating medical care
for injured person |
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| Holding conferences with physicians to discuss
treatment plans and medical necessity issues. |
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| Obtaining bids for Durable Medical Equipment (DME),
and purchasing equipment on behalf of the claim adjuster |
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| Arranging for referrals to other physicians |
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| Following up on physician recommendations and
implementing authorized treatments |
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| Arranging transportation, when appropriate |
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| Evaluating home modification needs and arranging for
modifications |
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| Providing consulting opinions and recommendations to
claim adjuster |
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| Providing counseling to ill/injured claimant |
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| Medical Record Reviews for any type of claim |
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| Medical/Legal File Reviews |
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| Future medical cost projections, life care plans |
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| Coordinating return-to-work with supervisor,
physician, and claimant to assure claimant's successful
return-to-work |
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| Arranging, obtaining, and implementing Peer Reviews or
Medical Record Reviews by appropriate physicians |
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| Job placement |
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Vocational Case Management |
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| Providing detailed job analysis |
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| Assisting employer in developing modified jobs |
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| Facilitating return to work |
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| Coordinating return-to-work with supervisor,
physician, and claimant to assure claimant's successful
return-to-work |
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| Workers' Compensation Re-employment Assessments |
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| Labor market surveys |
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| Job placement |
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Life Care Planning for Future Medical Expenses |
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| Future medical cost projections |
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| Life Care Plans |
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