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Workers Compensation And Nurse Case Manger

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David342

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I just got approved for Worker's compensation and now i'm assigned a nurse case manager(ncm). I know the ncm works for the insurance co and their role is to hurry up and get you "well" so that they can stop paying and settle the case.

Anybody have any experience with ncm?
 
In another thread, you posted you have just recently been awarded disability retirement from law enforcement. Is this related to that?
 
The post is vague and I'm simply trying to understand better.

If you just got awarded disability retirement then the goal is not nessecarily the same as if someone had a plan to return to work.
 
We don't delete threads, @David342 - it's perfectly fine to keep your question over here.

I'm not sure you have anything to be concerned about, regarding the nurse case manager. It's going to be their job to co-ordinate your rehab between the various people you need to see. In my state, they are generally part of a health organization (like a hospital conglomerate) that is sub-contracted by an insurance company to manage a rehab process. But that doesn't mean that their motivation is to get you in and out as fast as possible. In my experience, nurses who do this kind of work are generally very fair.

Edit to add - here's the link to your original thread, for anyone wanting background: Police Vet With 19 Years 4 Months With Ptsd Ia Hearing Tomorrow
 
i wasn't intending to suggest this should have been posted on the other thread, I was simply trying to understand better the context of the question. This topic seems like a great issue to post about as its own thread.

I too have had very mixed experiences with nurse case managers. Their goal is partly to save the company (or state) money, and ideally it is through making sure patients get proper care. Very few are trauma informed. I had a nurse case manager with my insurance tell me I should get a hobby instead of therapy for my PTSD. She also told me I should have fought off my attacker more. She also mailed me my therapists notes which should have never ever have happened.

My doctor and therapist quickly intervened and she was removed as the case manager.

But this is one persons bad experience and not the common experience.

The fact that you already have some good decisions about your abilities should help your nurse case manager be a lot more reasonable than my worst experiences. There are many good nurse case managers out there.

My friend who is a nurse case manager will talk to her diabetic clients about proper diabetes care, because it helps the diabetic reduce complications of diabetes --- which helps everyone.

In the case of already being retired, it may be less about what a typically work comp nurse case manager is looking a - to return the person to work. Since it's already been determined you won't be returning, then it may be evaluated as to maiming or improving quality of life and that's very important,

I suggest taking some notes on any questions you have for the case manager, how doctors and therapy visits are going, any requests you make of the case manager, and having some simple documentation of the process - this can also help if any glitches or disagreements come up along the way. Your doctor and therapist can also play a huge role in making sure things go well and resolving glitches that may arise.
 
Your disability paperwork should state if a decision was made to give permanent disability status - but based on the nurse coming to your appointments, I'm guessing that it's disability status and not nessecarily permanent status yet.

Workmans comp varies, sometimes drastically, from state to state in the US.

If you are not doing so already, I highly recommend working with an attorney. They can help save a lot of time, money, and headache in the long run. Permanent disability status, partial or full can be a significant amount of money over time, so it's normal that they may fight it. Getting a good attorney on your side may not cost you much up front. Many will at least meet to discuss a case for free or take on cases on contingency -which means they only get paid out of any winnings and only if they win.
 
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