Notice: Function _load_textdomain_just_in_time was called incorrectly. Translation loading for the wordpress-seo domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /var/www/wp-includes/functions.php on line 6114
Worker’s Compensation Case Manager in Michigan | HCM

Worker’s Compensation Case Manager in Michigan

What is case management in worker’s compensation?


Case Management in workers’ compensation involves clinicians evaluating the cause of a workers’ comp claim (i.e. the injured worker) and developing a comprehensive treatment plan for the injured worker. This involves coordination with the injured workers, providers, employers, and family members.


There are two fundamental objectives of a worker’s compensation case manager:

  1. Medical Management: Similar to general case management, a worker’s compensation case manager aims to ensure that the injured worker gets the right treatment at the right time. This includes coordination with the different healthcare service providers involved in the treatment.
  2. Return to Work: The second objective of the case manager is to assist the injured worker in returning to work in a full or light duty capacity. This involves collaboration with the doctors and employers for setting expectations early on with the injured worker about the return to work and the personal gains associated with this goal.
Worker’s Compensation Case Manager in Michigan

What does a case manager do in worker’s compensation cases?


A case manager is generally responsible for coordinating and facilitating almost all facets of a worker’s treatment. They provide the following services:

  • Help an injured worker in obtaining the medical care that they need and get them back to their jobs as soon as possible
  • Help the worker get appointments with the right specialists and attend visits to report their symptoms, diagnosis, prognosis, and treatment recommendations to the insurance company
  • Serve as a liaison between all parties involved in a workers’ compensation claim, including doctors, the employer the insurance company, and the injured worker
  • Work with employers to facilitate any necessary job modifications to enable a timely return to work

  • Provide information to an insurance adjuster regarding doctors’ visits and treatment authorisation
  • Ensure that the doctors are keeping the insurance carrier updated regarding relevant medical information including patient prescriptions, treatment, future prognosis, and a possible date for the worker to return to his or her job
  • Keep the payers of treatment up-to-date on medical details and progress and getting approvals from them for the treatment procedures
  • Evaluate the quality of care, assess the efficiency in achieving the desired goals, and monitor cost-efficiency
  • Help the injured employee understand their condition and details of the treatment
  • Facilitate referrals for treatment

Why do you need a case manager in a worker’s compensation case?


Case managers assigned to worker’s compensation injury claims are generally registered nurses with experience in medical management, occupational health, discharge planning, and home health care. The main benefit of having one by your side is that you’ve got a guide to help you through the system—a professional who knows it just as well as everyone whom you’re dealing with on the other side. Moreover, the worker or their family members don’t need to bother themselves with the hassle of facilitating care when they have a case manager working for them.

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