What is Case Manager?
A healthcare professional, often a registered nurse, who coordinates medical treatment, rehabilitation services, and care planning for an injured person.
Understanding Case Manager
Case managers work to ensure patients receive appropriate and timely medical care. In personal injury and workers' compensation cases, they may be assigned by the insurance company to monitor treatment and control costs, or they may be hired by the plaintiff's attorney to ensure the client receives optimal care. Understanding who the case manager works for is important.
Examples
- 1Insurance-assigned nurse case manager attending medical appointments
- 2Plaintiff's attorney hiring case manager to coordinate specialist referrals
- 3Workers' comp case manager arranging vocational rehabilitation
Related Terms
Treating Physician
The doctor who provides ongoing medical care and treatment to an injured person, as opposed to a doctor who only performs an independent examination.
Life Care Plan
A comprehensive document prepared by medical professionals outlining all future care needs and associated costs for a catastrophically injured person.
Maximum Medical Improvement (MMI)
The point in recovery when a worker's condition has stabilized and further medical treatment is unlikely to result in significant improvement.
Medical Malpractice
Professional negligence by a healthcare provider whose treatment falls below the accepted standard of care, resulting in injury or death to the patient.
Standard of Care
The degree of care and skill that a reasonably competent professional in the same field would provide under similar circumstances.
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