Telephonic Case Management

 

Telephonic Case Management (TCM) employs the same comprehensive services as field case management services but does not include face-to-face contact with the injured worker or medical providers.

TCM services are beneficial when an employer, third party administrator or insurance carrier needs the benefit of a case manager assessment in managing the work-related injury. TCM is a cost effective solution to managing these types of claims.

Everest Care Management’s TCM Services include:

  • Four point contact with injured worker, employer, insurance carrier and medical provider within 24 hours of referral.

  • An individualized case management plan is developed, including targets for return to work utilizing evidence based guidelines.

  • The pre-injury job description is obtained, reviewed by the case manager and made available to medical providers.

  • The case manager will obtain telephone updates from all appointments with the medical providers and communicate the results of the appointments to the employer and insurance carrier within 24 hours.

  • Goals and objectives are formulated with the inclusion of the injured worker.

  • The case manager coordinates all medical treatment including physical therapy, diagnostic testing and specialist referrals.

  • The case manager supports the employer and injured worker, formulating a return-to-work plan, in partnership with the treating provider.

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