How Catastrophic Injury Case Management Works

Catastrophic injury case management is important for helping patients who experienced a catastrophic injury like spine damage, head injury, or amputation. Patients with catastrophic injuries visit many rehab therapists, specialists, and physicians. Maintaining these appointments can be devastating for patients as well as their caregivers or families.

Basically, case managers who work with a patient suffering from a catastrophic injury also work for the insurance carrier for the employer of the patient. They also work for an individual case management agency that has contracted with the insurance carrier. The object is to help patients accomplish their utmost medical enhancement and acquire their optimal life quality.

In a few cases, the injured employee will require help from a vocational case manager to help discover a new career as it’s impossible to resume the previous job. And in such cases, the target is to make sure the patients get the long-term medical care that could include lifetime planners, home health, and other kinds of assistance and care.

The role of the case manager is to keep communicating with therapists, specialists, insurance agencies, and physicians. Here is how case management of a catastrophic injury works:

1. Catastrophic Case Handling Is Among the First Involved

When a worker has a catastrophic injury on his job, the compensation of employees will pay 100% of the treatment and care of the patient. There are no deductibles or co-pays, as these are with private insurance. The case managers are consulted from the beginning, generally within 24 hours of the injury.

The catastrophic case manager works with the hospital case manager and meets patients for offering contact details. Families are concerned about different processes, the bills, and physician orders. Catastrophic injury case managers help them know these better.

2. Catastrophic Case Manager Helps in Transitions

When a patient is treated for a catastrophic injury and the hospital is prepared for discharging him to a rehab hospital, an expert nursing facility, or somewhere else, the catastrophic case manager works with the hospital case manager on the discharge.

Moreover, the case manager makes sure the patient’s house has all the required equipment and identifies any other obstacle. Without the intervention of a case manager, the patient and his family might skip treatment, not understanding they could get help by visiting the therapist or have the specialist to come to his home. The physician might think that everything is well and not discover until there was an issue. Then, the patient requires wound therapy or ends up re-hospitalized.

3. Keep Communication Channels Open

Catastrophic injury case managers talk to therapists and ensure the patient is improving. Moreover, they meet with patients at treatment sessions for seeing what they need to undergo. This helps when the case manager talks to the therapist later and patients can also see that the case manager understands what he is discussing.

The case manager’s observations decide what happens next. Without catastrophic injury case management and the capacity of the case manager to make sure patients are getting the care they need, patients and their families might start to blame insurers.

We, at Huron Case Management, provide catastrophic injury case management in Royal Oak, Michigan. To know more and connect with our experts, contact us at (855) 487-6626 or (855) HURONCM.