Telephonic Case Management

An early intervention, short-term cost containment service which coordinates care and facilitates safe and timely return to work. It is most effectively used immediately following injuries. Our Telephonic Case Management (TCM) professionals are highly effective in evaluating the severity of injuries, negotiating medical costs and identifying opportunities for early return to work.

Telephonic Case Management Duties:

• Obtain medical and employment histories.
• Establish the estimated extent and duration of disability.
• Determine treatment goals through physician contact.
• Evaluate in-patient hospitalization cases for alternative discharge plans and discuss these options with the patients and physicians.
• Locate specialty providers and coordinate referrals to them.
• Negotiate costs of services, including surgery, inpatient treatments, home care, transportation, durable medical supplies, and outpatient treatments, including physical, occupational therapy, and chiropractic care.
• Contact employers to obtain job requirements for clients with work-related injuries to determine employment status, the physical demands of the injured employee’s job and opportunities for modified or alternative duty.
• Facilitate communication between physicians and employers to coordinate early return to work.