Field Case Management
Procura uses a dedicated team of registered nurses with local provider knowledge to offer field case management services. Nurses are results-oriented and focus on early identification and timely interventions that can influence the duration and cost of a claim. Field case managers and our panel of physicians respond to the diverse issues within the workers’ compensation, auto and disability arenas.
Field case management services include an early intervention assessment program that includes interview with the claimant and treatment providers. Through this assessment, a determination is made on medical status, expected length of treatment, work capability and case direction recommendations. On-site case managers evaluate and coordinate medical care with the claimant’s treating providers, therapists, employer and insurance carrier. Goal-directed case management ensures appropriate care and treatment in a timely, cost efficient manner. Results are geared toward full recovery and return-to-work for the claimant.
Program services include:
- Medical Management. Evaluation and coordination of medical care with the claimant's treating physician, therapist, employer and insurance carrier. Goal directed case management assures appropriate care and treatment in a timely, cost efficient manner. Results are geared toward full recovery and return to work for the claimant.
- Early Intervention Assessment Program. Immediate control of claims with initial interview of claimant and treatment providers. Determination of medical status, expected length of treatment, work capability and case direction recommendations.
- Job Analysis. Detailed description of pre-injury position is obtained to coordinate accurate work requirements with all parties. Exploration of employer's capacity to accommodate return to work in either a full duty or modified capacity.
- Physicians Panel list. Designed to assist the employer and employee by organizing geographically accessible network providers into panels aligned with both the statutory guidelines as well as injury experience. Physician panel lists are consistently reviewed and maintained with the most current provider information.
- Cost Analysis/ Lifetime Cost Projection. Detailed reports are created to assist claim staff in identifying the specific cost of a claim.
- Independent Medical Examination. Arranged with board-certified physicians whose field of expertise is related to the claim diagnosis. Our panel of physicians are well credentialed and prepared to respond to the diverse issues within workers' compensation, automobile and disability arenas. Comprehensive reports are provided, communicating medical recommendations and work status to assist in expediting a claim to full recovery or settlement.
Contact a Procura representative to learn more about our field case management programs.
