Telephonic Case Management

Staying in touch with injured employees helps employers reduce the impact of lost-time injuries.

Our proactive medical management practices focus on disability-duration guidelines and treatment protocols, which help set goals for safely reducing lost days to minimize unnecessary treatment and decrease overall claim costs.

Our nurse case managers initiate medical triage and establish ongoing contact with the injured employee, providers and employer to develop a case management plan.

We coordinate and maintain communication with all parties through resolution to ensure timely return to work.

Medical Field Case Management

Timely and cost-effective medical management of workplace injuries.
One of the most-effective ways to achieve cost containment and reduce the financial impact of workplace accidents is to implement nurse-driven medical case management.

On-site nurse case management helps establish appropriate medical treatment plans for allowed claim conditions to facilitate optimal case outcomes.

Medical case management allows for direct contact with the injured worker, providers, physicians and employers to eliminate any unnecessary wait time for treatment requests, services coordination and, ultimately, return to work.

Task-Based Case Management

Time-limited, goal-oriented case management intervention.

Task assignments are goal-oriented, task-focused case management activities designed to move a claim forward, without implementation of full field case management.

A case manager can be assigned on a limited basis with very specific short-term goals in order to bring the case to closure or move toward return to work.

Employers who utilize task assignment services are able to provide appropriate medical management for claims, while controlling overall claims costs.

Vocational Case Management

Helping to establish a vocational plan of action.

Through our on-site services, we visit the injured employee’s home, workplace and provider’s office to get a first-hand impression of injury severity and barriers to recovery and return to work.

When severe injury cases require long-term vocational assistance, a Certified Rehabilitation Counselor (CRC) can be instrumental in establishing and facilitating a reasonable and appropriate vocational plan of action to assist the injured worker in returning to remunerative employment.

Catastrophic Case Management

Immediate, on-site case management intervention for severe and life-threatening injuries.

Catastrophic injuries represent less than five percent of all workplace injuries and nearly 50 percent of all costs. Although these types of injuries are not common, early intervention can be one of the most-effective tools to control costs.

With Catastrophic Case Management, immediate attention can be given not only to an injured worker, but also to other employees and family members. Our case managers can conduct an immediate assessment and triage of a worker’s injuries, diagnoses and preliminary prognosis.

Serious injuries and catastrophic cases often require coordination of care between multiple disciplines. Not only are our case managers experts with coordination of care, they have experience with death claims and are available to provide counseling to employees and families.

Modified Duty Off Site (MDOS)

A unique return-to-work alternative that reduces the cost and duration of lost-time incidences.

When an injured worker is released to return to work with temporary restrictions that an employer cannot accommodate, CareWorks USA can facilitate the creation of an off-site position, usually with a nonprofit organization.

The injured worker can temporarily work until they can return to their regular-duty position with the original employer or until they are released to work on a permanent basis or reach a medical plateau.

Implementing an MDOS program helps reduce the number of OSHA lost-time days and also has a direct impact on the amount of compensation paid to injured employees.

Every MDOS placement is coordinated and managed by a credentialed case manager to ensure optimal resolution.