Case Management

Nurse Case Management

Telephonic case management, when coordinated with field case management, provides a cost effective solution to provide prompt and concurrent review and management of the medical care of injured employees The key benefits of a coordinated approach include:

Focusing on appropriate care based on consistently applying industry accepted clinical and disability guidelines
Targeting intervention strategies early in the life of a claim
Informing over the web through a secure portal which improves communication and outcome analysis.

Below are some success stories:

A significant medical issue resulted in the need for a patient to receive an expensive medication for two weeks after discharge. A nurse case management review determined that the medication was not related to work diagnosis; therefore, resulting in a customer savings of over $2000.
We negotiated with a physician to consider an alternative treatment unit saving over $900 on the purchase.
A nurse case manager worked with the light-duty program of an employer to have an injured worker returned to light-duty eight days sooner than the physician had originally planned.
To improve service and lower costs for Local Government Insurance Pool - a pool serving public entities throughout Tennessee - ASC contracted with MCMC for two onsite nurses to work directly with the adjusters. In the first year of our 31 year history, case management costs were slashed $200,000.