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Nurse Case Managers

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Nurse case managers, or rehabilitation nurses, will sometimes be assigned to monitor your recovery after your work injury. These nurses are hired by the insurance company and they are to report back to the company on doctor’s recommendations and will normally suggest or guide the injured worker to different doctors or specialists. If a nurse case manager has been assigned to you, be careful. Everyone involved has a concern that you receive proper treatment and get better however, your employer and its insurance company have more invested in your recovery so the sooner you are off medical treatment, the better, for financial reasons, not because of concern for your health.

After 90 days of treating with a doctor provided to you by your employer you can seek your own doctor. In order for the insurance company to pay for your medical bills a medical report must be provided from your treating physician along with the bill. Due to this requirement, the insurance company and your employer are always kept up to date and informed on your condition so it is OK to decline a nurse case manager.

If you do accept a nurse case manager you should not allow he or she to go in the exam room with you and you should also not allow your doctor to speak to them at all, but especially not without you being present. You should also know that you have no obligation to update the nurse case manager on your condition or when your doctor’s appointments are.

If you retain us as your attorney any communication between you and a nurse case manager must go through us. They cannot contact you directly once you have legal representation. If you have been assigned a nurse case manager and are not sure what to do, or what you can and cannot say or do, you should contact us immediately. The attorneys at The Pisanchyn Law Firm will handle any and all communication with the nurse and the insurance company so you can focus on what is really important, getting better.

If you have any questions please do not hesitate to call or email us.

 

 

 

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