Case Management

Nurses have the education, background, expertise, and knowledge of guidelines and standards needed to coordinate a patient’s healthcare services from onset of injury or illness to return to work or maximum functional ability.

Case Management impacts cost by:

• monitoring compliance and motivation
• negotiating lower fees
• assuring appropriate level of care
• identifying non-compensable treatment, termination of unnecessary treatment.
• reducing duration of medical care or length of stay

Case Management benefits (on site, limited assignment, or telephonic) cases in:

• workers compensation
• short and long term disability
• catastrophic injury
• elder care
• complex medical and psychosocial conditions

Alternate services:

• Bill audits
• assures charges were ordered, actually performed and used, and related
• can be done on site or record review
• recommended anytime bill appears excessive, patient questions charges, high risk or catastrophic hospitalization

Limited assignments:

• schedule, coordinate, attend Independent Medical Evaluations (IME)
• 3 point assessment – patient, employer, physician
• as needed for your specific need

  Case management:

• assesses patient injury and illness, medical history, information of other healthcare providers, and treatment recommendations
• develops a treatment plan and expected outcome, based on assessment, in conjunction with the treating physician
• implements, monitors, and evaluates the treatment plan
• integrates communication and coordination of care among the patient and family, healthcare team, insurer, employer, and attorney to assure continuity
• educates the patient and family to maximize compliance and rehabilitation
• optimizes utilization of therapies and community resources

Please examine our site and review the services available. 

Contact

Debbe Marcinko RN BSN MA

CRRN CCM CLCP CRC MSCC
PO Box 363
McKean , PA 16426

debbe@marcinkoconsulting.com

(814) 734-3575 phone and fax
(814) 882-3555 mobile