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.
Defense Medical Exam
A medical examination arranged and paid for by the defendant or their insurance company to independently evaluate the plaintiff's injuries and medical claims.
Impairment Rating
A percentage assigned by a physician that measures the degree of permanent physical impairment resulting from an injury, based on standardized medical guidelines.
Help Your Clients Understand Their Case
Quilia makes it easy to communicate complex legal concepts to your clients.